Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.22 / $1,628.54 / $3,014.52	Facility		$1,375.22	$1,628.54	$3,014.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.22 / $1,635.08 / $2,359.32	Professional		$1,375.22	$1,635.08	$2,359.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,742.23 / $3,817.07 / $7,484.46	Facility		$3,742.23	$3,817.07	$7,484.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.88 / $2,060.88 / $5,770.46	Professional		$2,060.88	$2,060.88	$5,770.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,899.57 / $3,117.82 / $3,117.82	Facility		$2,899.57	$3,117.82	$3,117.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,117.82 / $3,117.82 / $3,117.82	Professional		$3,117.82	$3,117.82	$3,117.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $2,677.88	Facility		$2,677.88	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $1,954.85 / $2,677.88	Professional		$1,954.85	$1,954.85	$2,677.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,742.23 / $8,420.02	Facility		$319.00	$3,742.23	$8,420.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,207.92 / $2,806.67 / $6,736.01	Professional		$2,207.92	$2,806.67	$6,736.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,837.60 / $2,837.60 / $2,837.60	Facility		$2,837.60	$2,837.60	$2,837.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,249.85 / $2,390.46 / $3,117.82	Professional		$2,249.85	$2,390.46	$3,117.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,677.88 / $3,742.23	Facility		$597.00	$2,677.88	$3,742.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,312.89 / $5,463.28	Professional		$1,954.85	$2,312.89	$5,463.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.64 / $2,234.19 / $3,368.01	Professional		$1,244.64	$2,234.19	$3,368.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,249.85 / $2,249.85	Facility		$2,000.36	$2,249.85	$2,249.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,249.85 / $2,249.85 / $2,837.60	Professional		$2,249.85	$2,249.85	$2,837.60