Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.31 / $1,102.86 / $2,041.46	Facility		$931.31	$1,102.86	$2,041.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.31 / $1,102.86 / $1,597.75	Professional		$931.31	$1,102.86	$1,597.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,534.28 / $2,584.96 / $5,068.56	Facility		$2,534.28	$2,584.96	$5,068.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,242.91 / $1,242.91 / $3,790.87	Professional		$1,242.91	$1,242.91	$3,790.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,963.62 / $2,111.42 / $2,111.42	Facility		$1,963.62	$2,111.42	$2,111.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,111.42 / $2,111.42 / $2,111.42	Professional		$2,111.42	$2,111.42	$2,111.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $1,367.82	Professional		$998.51	$998.51	$1,367.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,534.28 / $5,702.13	Facility		$319.00	$2,534.28	$5,702.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.23 / $1,921.65 / $4,561.70	Professional		$1,495.23	$1,921.65	$4,561.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.65 / $1,921.65 / $1,921.65	Facility		$1,921.65	$1,921.65	$1,921.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.61 / $1,618.85 / $2,111.42	Professional		$1,523.61	$1,618.85	$2,111.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,367.82 / $2,534.28	Facility		$597.00	$1,367.82	$2,534.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $3,064.22	Professional		$998.51	$1,367.82	$3,064.22
United Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1,347.44 / $1,347.44	Facility		$1.63	$1,347.44	$1,347.44
United Facility/Professional Professional Modifier Low / Median / High Price $842.88 / $1,459.20 / $2,317.92	Professional		$842.88	$1,459.20	$2,317.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,523.61 / $1,523.61 / $1,583.33	Facility		$1,523.61	$1,523.61	$1,583.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,523.61 / $1,523.61 / $1,921.65	Professional		$1,523.61	$1,523.61	$1,921.65