Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.84 / $902.17 / $1,669.96	Facility		$761.84	$902.17	$1,669.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.84 / $1,091.46 / $1,307.00	Professional		$761.84	$1,091.46	$1,307.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,073.10 / $2,114.56 / $4,146.20	Facility		$2,073.10	$2,114.56	$4,146.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.47 / $1,282.47 / $3,417.78	Professional		$1,282.47	$1,282.47	$3,417.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,606.29 / $1,727.19 / $1,727.19	Facility		$1,606.29	$1,727.19	$1,727.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,727.19 / $1,727.19 / $1,727.19	Professional		$1,727.19	$1,727.19	$1,727.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $1,295.39	Facility		$1,295.39	$1,295.39	$1,295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,295.39	Professional		$945.63	$945.63	$1,295.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,073.10 / $4,664.47	Facility		$319.00	$2,073.10	$4,664.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.13 / $1,674.03 / $3,731.58	Professional		$1,223.13	$1,674.03	$3,731.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,784.67 / $1,784.67 / $1,784.67	Facility		$1,784.67	$1,784.67	$1,784.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.35 / $1,324.26 / $1,784.67	Professional		$1,246.35	$1,324.26	$1,784.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,295.39 / $2,073.10	Facility		$597.00	$1,295.39	$2,073.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,235.09 / $3,088.92	Professional		$945.63	$1,235.09	$3,088.92
United Facility/Professional Professional Modifier Low / Median / High Price $689.50 / $1,243.85 / $1,866.55	Professional		$689.50	$1,243.85	$1,866.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,246.35 / $1,246.35 / $1,295.20	Facility		$1,246.35	$1,246.35	$1,295.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,246.35 / $1,246.35 / $1,784.67	Professional		$1,246.35	$1,246.35	$1,784.67