Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.63 / $990.74 / $1,833.90	Facility		$836.63	$990.74	$1,833.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.63 / $1,133.58 / $1,435.31	Professional		$836.63	$1,133.58	$1,435.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,276.61 / $2,322.14 / $4,553.22	Facility		$2,276.61	$2,322.14	$4,553.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.47 / $1,243.47 / $3,508.90	Professional		$1,243.47	$1,243.47	$3,508.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,763.98 / $1,896.75 / $1,896.75	Facility		$1,763.98	$1,896.75	$1,896.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,896.75 / $1,896.75 / $1,896.75	Professional		$1,896.75	$1,896.75	$1,896.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $1,271.83	Facility		$1,271.83	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,271.83	Professional		$928.44	$928.44	$1,271.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,276.61 / $5,122.37	Facility		$319.00	$2,276.61	$5,122.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.57 / $1,707.46 / $4,097.89	Professional		$1,175.57	$1,707.46	$4,097.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.34 / $1,247.34 / $1,247.34	Facility		$1,247.34	$1,247.34	$1,247.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,247.34 / $1,368.72 / $1,632.56	Professional		$1,247.34	$1,368.72	$1,632.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,271.83 / $2,276.61	Facility		$597.00	$1,271.83	$2,276.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,271.83 / $3,383.91	Professional		$928.44	$1,271.83	$3,383.91
United Facility/Professional Professional Modifier Low / Median / High Price $757.18 / $1,352.29 / $2,035.38	Professional		$757.18	$1,352.29	$2,035.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,368.72 / $1,368.72 / $1,422.35	Facility		$1,368.72	$1,368.72	$1,422.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,247.34 / $1,368.72 / $1,454.26	Professional		$1,247.34	$1,368.72	$1,454.26