Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.60 / $1,354.27 / $2,506.81	Facility		$1,143.60	$1,354.27	$2,506.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.60 / $1,354.27 / $1,961.97	Professional		$1,143.60	$1,354.27	$1,961.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,111.98 / $3,174.22 / $6,223.96	Facility		$3,111.98	$3,174.22	$6,223.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,806.78 / $1,806.78 / $4,934.59	Professional		$1,806.78	$1,806.78	$4,934.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,411.23 / $2,592.73 / $2,592.73	Facility		$2,411.23	$2,592.73	$2,592.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,592.73 / $2,592.73 / $2,592.73	Professional		$2,592.73	$2,592.73	$2,592.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $1,769.18	Facility		$1,769.18	$1,769.18	$1,769.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,769.18	Professional		$1,291.50	$1,291.50	$1,769.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,111.98 / $7,001.96	Facility		$319.00	$3,111.98	$7,001.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,606.92 / $2,240.63 / $5,601.56	Professional		$1,606.92	$2,240.63	$5,601.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,967.48 / $1,967.48 / $1,967.48	Facility		$1,967.48	$1,967.48	$1,967.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,870.93 / $1,967.48 / $2,360.98	Professional		$1,870.93	$1,967.48	$2,360.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,769.18 / $3,111.98	Facility		$597.00	$1,769.18	$3,111.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.18 / $4,636.85	Professional		$1,291.50	$1,769.18	$4,636.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.02 / $1,867.19 / $2,831.32	Professional		$1,035.02	$1,867.19	$2,831.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,870.93 / $1,870.93 / $1,944.25	Facility		$1,870.93	$1,870.93	$1,944.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,870.93 / $1,870.93 / $1,987.87	Professional		$1,870.93	$1,870.93	$1,987.87