Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.55 / $1,542.49 / $2,855.22	Facility		$1,302.55	$1,542.49	$2,855.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.55 / $1,542.49 / $2,234.65	Professional		$1,302.55	$1,542.49	$2,234.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,544.49 / $3,615.38 / $7,088.98	Facility		$3,544.49	$3,615.38	$7,088.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,988.34 / $1,988.34 / $5,507.70	Professional		$1,988.34	$1,988.34	$5,507.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,746.36 / $2,953.07 / $2,953.07	Facility		$2,746.36	$2,953.07	$2,953.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,953.07 / $2,953.07 / $2,953.07	Professional		$2,953.07	$2,953.07	$2,953.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $2,482.86	Facility		$2,482.86	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $2,482.86	Professional		$1,812.49	$1,812.49	$2,482.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,544.49 / $7,975.10	Facility		$319.00	$3,544.49	$7,975.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.26 / $2,552.03 / $6,380.08	Professional		$1,830.26	$2,552.03	$6,380.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.98 / $2,258.98 / $2,258.98	Facility		$2,258.98	$2,258.98	$2,258.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,130.96 / $2,258.98 / $2,710.79	Professional		$2,130.96	$2,258.98	$2,710.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,482.86 / $3,544.49	Facility		$597.00	$2,482.86	$3,544.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,111.71 / $5,281.29	Professional		$1,812.49	$2,111.71	$5,281.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,247.08 / $2,182.50 / $2,488.46	Facility		$1,247.08	$2,182.50	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.86 / $2,126.69 / $3,055.09	Professional		$1,178.86	$2,126.69	$3,055.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,130.96 / $2,130.96 / $2,214.48	Facility		$2,130.96	$2,130.96	$2,214.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,130.96 / $2,130.96 / $2,264.15	Professional		$2,130.96	$2,130.96	$2,264.15