Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.05 / $1,404.93 / $2,600.59	Facility		$1,099.05	$1,404.93	$2,600.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.05 / $1,498.25 / $2,035.36	Professional		$1,099.05	$1,498.25	$2,035.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,228.39 / $3,292.96 / $6,456.78	Facility		$3,228.39	$3,292.96	$6,456.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,966.25 / $1,966.25 / $5,240.05	Professional		$1,966.25	$1,966.25	$5,240.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,501.42 / $2,689.71 / $2,689.71	Facility		$2,501.42	$2,689.71	$2,689.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,689.71 / $2,689.71 / $2,689.71	Professional		$2,689.71	$2,689.71	$2,689.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,017.28	Professional		$1,472.61	$1,472.61	$2,017.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,228.39 / $7,263.88	Facility		$319.00	$3,228.39	$7,263.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.75 / $2,513.88 / $5,882.13	Professional		$1,904.75	$2,513.88	$5,882.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,940.93 / $2,062.23 / $2,689.71	Professional		$1,940.93	$2,062.23	$2,689.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,017.28 / $3,228.39	Facility		$597.00	$2,017.28	$3,228.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,923.39 / $4,810.30	Professional		$1,472.61	$1,923.39	$4,810.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.74 / $1,879.04 / $2,905.55	Professional		$1,073.74	$1,879.04	$2,905.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,940.93 / $1,940.93 / $2,016.98	Facility		$1,940.93	$1,940.93	$2,016.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,940.93 / $1,940.93 / $2,062.23	Professional		$1,940.93	$1,940.93	$2,062.23