Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.71 / $1,186.22 / $2,195.75	Facility		$1,001.71	$1,186.22	$2,195.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.71 / $1,186.22 / $1,718.51	Professional		$1,001.71	$1,186.22	$1,718.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,725.82 / $2,780.34 / $5,451.64	Facility		$2,725.82	$2,780.34	$5,451.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.16 / $1,425.16 / $4,201.25	Professional		$1,425.16	$1,425.16	$4,201.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,112.03 / $2,271.00 / $2,271.00	Facility		$2,112.03	$2,271.00	$2,271.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,271.00 / $2,271.00 / $2,271.00	Professional		$2,271.00	$2,271.00	$2,271.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $1,823.10	Facility		$1,823.10	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $1,823.10	Professional		$1,330.86	$1,330.86	$1,823.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,725.82 / $6,133.10	Facility		$319.00	$2,725.82	$6,133.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.52 / $1,962.59 / $4,906.47	Professional		$1,407.52	$1,962.59	$4,906.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.84 / $1,599.84 / $1,599.84	Facility		$1,599.84	$1,599.84	$1,599.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,638.78 / $1,954.67	Professional		$1,599.84	$1,638.78	$1,954.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,823.10 / $2,725.82	Facility		$597.00	$1,823.10	$2,725.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,623.98 / $4,061.47	Professional		$1,330.86	$1,623.98	$4,061.47
United Facility/Professional Professional Modifier Low / Median / High Price $906.59 / $1,551.72 / $2,493.12	Professional		$906.59	$1,551.72	$2,493.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,638.78 / $1,638.78 / $1,702.99	Facility		$1,638.78	$1,638.78	$1,702.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,638.78 / $1,741.20	Professional		$1,599.84	$1,638.78	$1,741.20