Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.66 / $1,393.40 / $2,579.25	Facility		$1,176.66	$1,393.40	$2,579.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.66 / $1,454.33 / $2,018.66	Professional		$1,176.66	$1,454.33	$2,018.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,201.89 / $3,265.93 / $6,403.78	Facility		$3,201.89	$3,265.93	$6,403.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.40 / $1,748.40 / $4,935.02	Professional		$1,748.40	$1,748.40	$4,935.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,480.91 / $2,667.64 / $2,667.64	Facility		$2,480.91	$2,667.64	$2,667.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,667.64 / $2,667.64 / $2,667.64	Professional		$2,667.64	$2,667.64	$2,667.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $2,289.62	Facility		$2,289.62	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $2,289.62	Professional		$1,671.42	$1,671.42	$2,289.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,201.89 / $7,204.25	Facility		$319.00	$3,201.89	$7,204.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.20 / $2,401.42 / $5,763.40	Professional		$1,737.20	$2,401.42	$5,763.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,171.50 / $2,171.50 / $2,171.50	Facility		$2,171.50	$2,171.50	$2,171.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,925.01 / $2,045.33 / $2,605.80	Professional		$1,925.01	$2,045.33	$2,605.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,289.62 / $3,201.89	Facility		$597.00	$2,289.62	$3,201.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,907.61 / $5,129.06	Professional		$1,671.42	$1,907.61	$5,129.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.93 / $1,818.52 / $2,759.80	Professional		$1,064.93	$1,818.52	$2,759.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,925.01 / $1,925.01 / $2,000.44	Facility		$1,925.01	$1,925.01	$2,000.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,925.01 / $1,925.01 / $2,171.50	Professional		$1,925.01	$1,925.01	$2,171.50