Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,454.71 / $3,467.37	Facility		$1,122.02	$2,454.71	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,951.21	Professional		$1,348.96	$1,819.70	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $6,309.57	Facility		$3,162.28	$3,162.28	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $5,248.07	Professional		$1,862.09	$1,862.09	$5,248.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $2,570.40	Facility		$2,398.83	$2,570.40	$2,570.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $50,118.72	Facility		$2,570.40	$5,495.41	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,090.30	Professional		$1,862.09	$1,862.09	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,128.61 / $12,022.64	Facility		$3,162.28	$5,128.61	$12,022.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $6,025.60	Professional		$1,949.84	$3,388.44	$6,025.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Facility		$1,548.82	$1,548.82	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,949.84	Professional		$1,548.82	$1,862.09	$1,949.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $50,118.72 / $75,857.76	Facility		$3,311.31	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $3,019.95	Professional		$2,041.74	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $4,168.69	Facility		$1,258.93	$2,398.83	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,570.40	Professional		$1,023.29	$1,659.59	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,862.09	Facility		$1,548.82	$1,819.70	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,949.84	Professional		$1,548.82	$1,862.09	$1,949.84