Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.76 / $1,382.87 / $2,559.75	Facility		$1,167.76	$1,382.87	$2,559.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.76 / $1,412.46 / $2,003.39	Professional		$1,167.76	$1,412.46	$2,003.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,177.69 / $3,241.24 / $6,355.38	Facility		$3,177.69	$3,241.24	$6,355.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,715.30 / $1,715.30 / $4,897.71	Professional		$1,715.30	$1,715.30	$4,897.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,462.15 / $2,647.47 / $2,647.47	Facility		$2,462.15	$2,647.47	$2,647.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,647.47 / $2,647.47 / $2,647.47	Professional		$2,647.47	$2,647.47	$2,647.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $2,050.41	Professional		$1,496.80	$1,496.80	$2,050.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,177.69 / $7,149.80	Facility		$319.00	$3,177.69	$7,149.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.86 / $2,383.27 / $5,719.84	Professional		$1,640.86	$2,383.27	$5,719.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,419.05 / $1,419.05 / $1,419.05	Facility		$1,419.05	$1,419.05	$1,419.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.05 / $1,910.44 / $2,278.71	Professional		$1,419.05	$1,910.44	$2,278.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,050.41 / $3,177.69	Facility		$597.00	$2,050.41	$3,177.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,893.19 / $4,925.42	Professional		$1,496.80	$1,893.19	$4,925.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.88 / $1,899.75 / $2,859.92	Professional		$1,056.88	$1,899.75	$2,859.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,910.44 / $1,910.44 / $1,985.32	Facility		$1,910.44	$1,910.44	$1,985.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,419.05 / $1,910.44 / $2,029.85	Professional		$1,419.05	$1,910.44	$2,029.85