Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.05 / $876.99 / $1,623.34	Facility		$686.05	$876.99	$1,623.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.05 / $880.51 / $1,270.52	Professional		$686.05	$880.51	$1,270.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,015.23 / $2,055.53 / $4,030.46	Facility		$2,015.23	$2,055.53	$4,030.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.35 / $1,123.35 / $3,123.28	Professional		$1,123.35	$1,123.35	$3,123.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,561.45 / $1,678.98 / $1,678.98	Facility		$1,561.45	$1,678.98	$1,678.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,678.98 / $1,678.98 / $1,678.98	Professional		$1,678.98	$1,678.98	$1,678.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,335.63	Facility		$1,335.63	$1,335.63	$1,335.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,335.63	Professional		$975.01	$975.01	$1,335.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,015.23 / $4,534.27	Facility		$319.00	$2,015.23	$4,534.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.40 / $1,491.27 / $3,627.41	Professional		$1,165.40	$1,491.27	$3,627.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,456.75 / $1,456.75 / $1,456.75	Facility		$1,456.75	$1,456.75	$1,456.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.55 / $1,287.28 / $1,678.98	Professional		$1,211.55	$1,287.28	$1,678.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,335.63 / $2,015.23	Facility		$597.00	$1,335.63	$2,015.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $1,245.51 / $2,992.03	Professional		$975.01	$1,245.51	$2,992.03
United Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $1,005.38 / $1,843.19	Professional		$670.25	$1,005.38	$1,843.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,077.21 / $1,211.55 / $1,211.55	Facility		$1,077.21	$1,211.55	$1,211.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,211.55 / $1,211.55 / $1,456.75	Professional		$1,211.55	$1,211.55	$1,456.75