Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.18 / $981.93 / $1,817.60	Facility		$829.18	$981.93	$1,817.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.18 / $981.93 / $1,422.54	Professional		$829.18	$981.93	$1,422.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,256.36 / $2,301.48 / $4,512.72	Facility		$2,256.36	$2,301.48	$4,512.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.79 / $1,106.79 / $3,375.70	Professional		$1,106.79	$1,106.79	$3,375.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,748.29 / $1,879.88 / $1,879.88	Facility		$1,748.29	$1,879.88	$1,879.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,879.88 / $1,879.88 / $1,879.88	Professional		$1,879.88	$1,879.88	$1,879.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,349.13	Professional		$984.86	$984.86	$1,349.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,256.36 / $5,076.81	Facility		$319.00	$2,256.36	$5,076.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.11 / $1,624.58 / $4,061.45	Professional		$1,165.11	$1,624.58	$4,061.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,181.70 / $1,181.70 / $1,181.70	Facility		$1,181.70	$1,181.70	$1,181.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.70 / $1,356.54 / $1,618.04	Professional		$1,181.70	$1,356.54	$1,618.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,349.13 / $2,256.36	Facility		$597.00	$1,349.13	$2,256.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $1,344.27 / $3,497.36	Professional		$984.86	$1,344.27	$3,497.36
United Facility/Professional Professional Modifier Low / Median / High Price $750.45 / $1,293.40 / $2,030.72	Professional		$750.45	$1,293.40	$2,030.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,356.54 / $1,356.54 / $1,409.69	Facility		$1,356.54	$1,356.54	$1,409.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,181.70 / $1,356.54 / $1,441.31	Professional		$1,181.70	$1,356.54	$1,441.31