Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.93 / $1,280.05 / $2,369.42	Facility		$1,080.93	$1,280.05	$2,369.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.93 / $1,427.85 / $1,906.17	Professional		$1,080.93	$1,427.85	$1,906.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,941.43 / $3,000.26 / $5,882.86	Facility		$2,941.43	$3,000.26	$5,882.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,788.71 / $1,788.71 / $4,766.91	Professional		$1,788.71	$1,788.71	$4,766.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,279.10 / $2,450.64 / $2,450.64	Facility		$2,279.10	$2,450.64	$2,450.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,450.64 / $2,450.64 / $2,450.64	Professional		$2,450.64	$2,450.64	$2,450.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $1,902.78	Facility		$1,902.78	$1,902.78	$1,902.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $1,902.78	Professional		$1,389.03	$1,389.03	$1,902.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,941.43 / $6,618.22	Facility		$319.00	$2,941.43	$6,618.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.86 / $2,206.07 / $5,294.57	Professional		$1,518.86	$2,206.07	$5,294.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,540.25 / $1,540.25 / $1,540.25	Facility		$1,540.25	$1,540.25	$1,540.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,540.25 / $1,768.40 / $2,109.29	Professional		$1,540.25	$1,768.40	$2,109.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,902.78 / $2,941.43	Facility		$597.00	$1,902.78	$2,941.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,752.43 / $4,262.34	Professional		$1,389.03	$1,752.43	$4,262.34
United Facility/Professional Professional Modifier Low / Median / High Price $978.30 / $1,911.93 / $2,535.29	Professional		$978.30	$1,911.93	$2,535.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,768.40 / $1,768.40 / $1,837.70	Facility		$1,768.40	$1,768.40	$1,837.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,540.25 / $1,768.40 / $1,878.92	Professional		$1,540.25	$1,768.40	$1,878.92