Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.71 / $1,726.24 / $3,195.35	Facility		$1,457.71	$1,726.24	$3,195.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.71 / $2,148.83 / $2,500.86	Professional		$1,457.71	$2,148.83	$2,500.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,966.74 / $4,046.07 / $7,933.48	Facility		$3,966.74	$4,046.07	$7,933.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,396.26 / $2,396.26 / $6,386.03	Professional		$2,396.26	$2,396.26	$6,386.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,073.52 / $3,304.86 / $3,304.86	Facility		$3,073.52	$3,304.86	$3,304.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,304.86 / $3,304.86 / $3,304.86	Professional		$3,304.86	$3,304.86	$3,304.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $2,728.17	Professional		$1,991.56	$1,991.56	$2,728.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,966.74 / $8,925.17	Facility		$319.00	$3,966.74	$8,925.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.29 / $2,975.06 / $7,140.13	Professional		$2,048.29	$2,975.06	$7,140.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $2,020.00 / $2,020.00	Facility		$2,020.00	$2,020.00	$2,020.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.00 / $2,384.81 / $2,844.52	Professional		$2,020.00	$2,384.81	$2,844.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,728.17 / $3,966.74	Facility		$597.00	$2,728.17	$3,966.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $2,363.26 / $6,359.06	Professional		$1,991.56	$2,363.26	$6,359.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.30 / $2,410.05 / $3,570.07	Professional		$1,319.30	$2,410.05	$3,570.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,384.81 / $2,384.81 / $2,478.26	Facility		$2,384.81	$2,384.81	$2,478.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,020.00 / $2,384.81 / $2,533.86	Professional		$2,020.00	$2,384.81	$2,533.86