Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.06 / $1,689.94 / $3,128.15	Facility		$1,427.06	$1,689.94	$3,128.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $1,689.94 / $2,448.26	Professional		$1,383.32	$1,689.94	$2,448.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,883.31 / $3,960.98 / $7,766.62	Facility		$3,883.31	$3,960.98	$7,766.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.19 / $1,760.19 / $5,672.56	Professional		$1,760.19	$1,760.19	$5,672.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,008.88 / $3,235.36 / $3,235.36	Facility		$3,008.88	$3,235.36	$3,235.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,235.36 / $3,235.36 / $3,235.36	Professional		$3,235.36	$3,235.36	$3,235.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $1,819.89	Facility		$1,819.89	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $1,819.89	Professional		$1,328.52	$1,328.52	$1,819.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,883.31 / $8,737.45	Facility		$319.00	$3,883.31	$8,737.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.04 / $2,795.98 / $6,989.96	Professional		$2,125.04	$2,795.98	$6,989.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,656.30 / $2,656.30 / $2,656.30	Facility		$2,656.30	$2,656.30	$2,656.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,334.66 / $2,480.58 / $3,187.56	Professional		$2,334.66	$2,480.58	$3,187.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,819.89 / $3,883.31	Facility		$597.00	$1,819.89	$3,883.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $5,049.38	Professional		$1,328.52	$1,819.89	$5,049.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.56 / $2,086.67 / $3,496.38	Professional		$1,291.56	$2,086.67	$3,496.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,334.66 / $2,334.66 / $2,426.15	Facility		$2,334.66	$2,334.66	$2,426.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,334.66 / $2,334.66 / $2,656.30	Professional		$2,334.66	$2,334.66	$2,656.30