Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.08 / $1,752.71 / $3,244.35	Facility		$1,514.08	$1,752.71	$3,244.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.08 / $1,924.20 / $2,539.19	Professional		$1,514.08	$1,924.20	$2,539.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,027.56 / $4,108.10 / $8,055.12	Facility		$4,027.56	$4,108.10	$8,055.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,043.56 / $3,043.56 / $6,932.55	Professional		$3,043.56	$3,043.56	$6,932.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,120.65 / $3,355.54 / $3,355.54	Facility		$3,120.65	$3,355.54	$3,355.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,355.54 / $3,355.54 / $3,355.54	Professional		$3,355.54	$3,355.54	$3,355.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $3,001.57	Facility		$3,001.57	$3,001.57	$3,001.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,001.57	Professional		$2,191.15	$2,191.15	$3,001.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,027.56 / $9,062.01	Facility		$319.00	$4,027.56	$9,062.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,079.69 / $2,929.65 / $7,249.61	Professional		$2,079.69	$2,929.65	$7,249.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,843.25 / $1,843.25 / $1,843.25	Facility		$1,843.25	$1,843.25	$1,843.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,843.25 / $2,600.87 / $2,888.15	Professional		$1,843.25	$2,600.87	$2,888.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,001.57 / $4,027.56	Facility		$597.00	$3,001.57	$4,027.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,489.23 / $6,001.06	Professional		$2,191.15	$2,489.23	$6,001.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.54 / $2,477.02 / $3,626.26	Professional		$1,339.54	$2,477.02	$3,626.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,600.87 / $2,600.87 / $2,600.87	Facility		$2,600.87	$2,600.87	$2,600.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,843.25 / $2,600.87 / $2,763.43	Professional		$1,843.25	$2,600.87	$2,763.43