Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.70 / $1,760.55 / $3,258.87	Facility		$1,486.70	$1,760.55	$3,258.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.70 / $1,820.29 / $2,550.56	Professional		$1,486.70	$1,820.29	$2,550.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,045.58 / $4,126.49 / $8,091.16	Facility		$4,045.58	$4,126.49	$8,091.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,207.84 / $2,207.84 / $6,235.52	Professional		$2,207.84	$2,207.84	$6,235.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,134.61 / $3,370.55 / $3,370.55	Facility		$3,134.61	$3,370.55	$3,370.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,370.55 / $3,370.55 / $3,370.55	Professional		$3,370.55	$3,370.55	$3,370.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $2,282.71	Facility		$2,282.71	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $2,282.71	Professional		$1,666.39	$1,666.39	$2,282.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,045.58 / $9,102.56	Facility		$319.00	$4,045.58	$9,102.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.01 / $3,034.19 / $7,282.04	Professional		$2,089.01	$3,034.19	$7,282.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,578.34 / $2,578.34 / $2,578.34	Facility		$2,578.34	$2,578.34	$2,578.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,432.21 / $2,578.34 / $3,094.01	Professional		$2,432.21	$2,578.34	$3,094.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,282.71 / $4,045.58	Facility		$597.00	$2,282.71	$4,045.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $2,282.71 / $6,270.65	Professional		$1,666.39	$2,282.71	$6,270.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.53 / $2,408.37 / $3,641.02	Professional		$1,345.53	$2,408.37	$3,641.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,432.21 / $2,432.21 / $2,527.53	Facility		$2,432.21	$2,432.21	$2,527.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,432.21 / $2,432.21 / $2,584.23	Professional		$2,432.21	$2,432.21	$2,584.23