Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.74 / $923.88 / $1,710.15	Facility		$722.74	$923.88	$1,710.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.74 / $927.59 / $1,338.46	Professional		$722.74	$927.59	$1,338.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,123.00 / $2,165.46 / $4,246.00	Facility		$2,123.00	$2,165.46	$4,246.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.49 / $1,183.49 / $3,290.32	Professional		$1,183.49	$1,183.49	$3,290.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,644.95 / $1,768.76 / $1,768.76	Facility		$1,644.95	$1,768.76	$1,768.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,768.76 / $1,768.76 / $1,768.76	Professional		$1,768.76	$1,768.76	$1,768.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.05 / $1,407.05 / $1,407.05	Facility		$1,407.05	$1,407.05	$1,407.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.15 / $1,027.15 / $1,407.05	Professional		$1,027.15	$1,027.15	$1,407.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,123.00 / $4,776.75	Facility		$319.00	$2,123.00	$4,776.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.74 / $1,571.02 / $3,821.40	Professional		$1,227.74	$1,571.02	$3,821.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,534.67 / $1,534.67 / $1,534.67	Facility		$1,534.67	$1,534.67	$1,534.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,276.35 / $1,356.14 / $1,768.76	Professional		$1,276.35	$1,356.14	$1,768.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,407.05 / $2,123.00	Facility		$597.00	$1,407.05	$2,123.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,027.15 / $1,301.28 / $3,290.65	Professional		$1,027.15	$1,301.28	$3,290.65
United Facility/Professional Professional Modifier Low / Median / High Price $706.09 / $1,115.82 / $1,941.75	Professional		$706.09	$1,115.82	$1,941.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,134.82 / $1,276.35 / $1,276.35	Facility		$1,134.82	$1,276.35	$1,276.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,276.35 / $1,276.35 / $1,534.67	Professional		$1,276.35	$1,276.35	$1,534.67