Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.95 / $1,194.81 / $2,211.66	Facility		$1,008.95	$1,194.81	$2,211.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.95 / $1,243.53 / $1,730.97	Professional		$1,008.95	$1,243.53	$1,730.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,745.58 / $2,800.49 / $5,491.16	Facility		$2,745.58	$2,800.49	$5,491.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.65 / $1,481.65 / $4,231.68	Professional		$1,481.65	$1,481.65	$4,231.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,127.34 / $2,287.46 / $2,287.46	Facility		$2,127.34	$2,287.46	$2,287.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,287.46 / $2,287.46 / $2,287.46	Professional		$2,287.46	$2,287.46	$2,287.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $1,769.38	Facility		$1,769.38	$1,769.38	$1,769.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,769.38	Professional		$1,291.65	$1,291.65	$1,769.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,745.58 / $6,177.56	Facility		$319.00	$2,745.58	$6,177.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.72 / $2,059.19 / $4,942.04	Professional		$1,417.72	$2,059.19	$4,942.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.00 / $1,717.00 / $1,717.00	Facility		$1,717.00	$1,717.00	$1,717.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.64 / $1,717.00 / $2,060.40	Professional		$1,650.64	$1,717.00	$2,060.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,769.38 / $2,745.58	Facility		$597.00	$1,769.38	$2,745.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,635.73 / $3,963.75	Professional		$1,291.65	$1,635.73	$3,963.75
United Facility/Professional Professional Modifier Low / Median / High Price $913.16 / $1,630.83 / $2,511.17	Professional		$913.16	$1,630.83	$2,511.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,650.64 / $1,650.64 / $1,715.33	Facility		$1,650.64	$1,650.64	$1,715.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,650.64 / $1,650.64 / $1,753.80	Professional		$1,650.64	$1,650.64	$1,753.80