Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.97 / $1,277.72 / $2,365.12	Facility		$1,078.97	$1,277.72	$2,365.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.97 / $1,428.71 / $1,851.08	Professional		$1,078.97	$1,428.71	$1,851.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,936.08 / $2,994.80 / $5,872.16	Facility		$2,936.08	$2,994.80	$5,872.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,722.19 / $1,722.19 / $4,655.68	Professional		$1,722.19	$1,722.19	$4,655.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,274.94 / $2,446.17 / $2,446.17	Facility		$2,274.94	$2,446.17	$2,446.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,446.17 / $2,446.17 / $2,446.17	Professional		$2,446.17	$2,446.17	$2,446.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.13 / $2,084.13 / $2,084.13	Facility		$2,084.13	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,084.13	Professional		$1,521.41	$1,521.41	$2,084.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,936.08 / $6,606.18	Facility		$319.00	$2,936.08	$6,606.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,661.86 / $2,202.06 / $5,284.94	Professional		$1,661.86	$2,202.06	$5,284.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,077.32 / $2,077.32 / $2,077.32	Facility		$2,077.32	$2,077.32	$2,077.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,765.20 / $1,875.52 / $2,446.17	Professional		$1,765.20	$1,875.52	$2,446.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,084.13 / $2,936.08	Facility		$597.00	$2,084.13	$2,936.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,749.23 / $4,374.76	Professional		$1,521.41	$1,749.23	$4,374.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,037.61 / $1,815.91 / $2,070.48	Facility		$1,037.61	$1,815.91	$2,070.48
United Facility/Professional Professional Modifier Low / Median / High Price $976.52 / $1,761.65 / $2,685.43	Professional		$976.52	$1,761.65	$2,685.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,765.20 / $1,765.20 / $1,834.36	Facility		$1,765.20	$1,765.20	$1,834.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,765.20 / $1,765.20 / $2,077.32	Professional		$1,765.20	$1,765.20	$2,077.32