Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.15 / $760.43 / $1,407.59	Facility		$642.15	$760.43	$1,407.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.15 / $956.34 / $1,101.66	Professional		$642.15	$956.34	$1,101.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,747.40 / $1,782.35 / $3,494.80	Facility		$1,747.40	$1,782.35	$3,494.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.60 / $1,062.60 / $2,831.85	Professional		$1,062.60	$1,062.60	$2,831.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,353.92 / $1,455.83 / $1,455.83	Facility		$1,353.92	$1,455.83	$1,455.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,455.83 / $1,455.83 / $1,455.83	Professional		$1,455.83	$1,455.83	$1,455.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,375.24	Professional		$1,003.93	$1,003.93	$1,375.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,747.40 / $3,931.65	Facility		$319.00	$1,747.40	$3,931.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $953.44 / $1,310.55 / $3,145.32	Professional		$953.44	$1,310.55	$3,145.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.80 / $1,191.80 / $1,191.80	Facility		$1,191.80	$1,191.80	$1,191.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.55 / $1,116.20 / $1,430.16	Professional		$1,050.55	$1,116.20	$1,430.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,375.24 / $1,747.40	Facility		$597.00	$1,375.24	$1,747.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,041.05 / $2,603.63	Professional		$1,003.93	$1,041.05	$2,603.63
United Facility/Professional Professional Modifier Low / Median / High Price $581.16 / $1,048.44 / $1,598.22	Professional		$581.16	$1,048.44	$1,598.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,050.55 / $1,050.55 / $1,091.72	Facility		$1,050.55	$1,050.55	$1,091.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,050.55 / $1,050.55 / $1,191.80	Professional		$1,050.55	$1,050.55	$1,191.80