Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.42 / $1,191.81 / $2,206.10	Facility		$1,006.42	$1,191.81	$2,206.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.42 / $1,242.08 / $1,726.61	Professional		$1,006.42	$1,242.08	$1,726.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,738.66 / $2,793.43 / $5,477.32	Facility		$2,738.66	$2,793.43	$5,477.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,660.84 / $1,660.84 / $4,426.13	Professional		$1,660.84	$1,660.84	$4,426.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,121.98 / $2,281.69 / $2,281.69	Facility		$2,121.98	$2,281.69	$2,281.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,281.69 / $2,281.69 / $2,281.69	Professional		$2,281.69	$2,281.69	$2,281.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $1,711.28	Facility		$1,711.28	$1,711.28	$1,711.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $1,711.28	Professional		$1,249.23	$1,249.23	$1,711.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,738.66 / $6,161.99	Facility		$319.00	$2,738.66	$6,161.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.81 / $2,076.62 / $4,929.59	Professional		$1,615.81	$2,076.62	$4,929.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,076.62 / $2,076.62 / $2,076.62	Facility		$2,076.62	$2,076.62	$2,076.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,646.51 / $1,749.41 / $2,281.69	Professional		$1,646.51	$1,749.41	$2,281.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,711.28 / $2,738.66	Facility		$597.00	$1,711.28	$2,738.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,631.62 / $4,080.60	Professional		$1,249.23	$1,631.62	$4,080.60
United Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,643.20 / $2,504.87	Professional		$910.86	$1,643.20	$2,504.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,646.51 / $1,646.51 / $1,711.02	Facility		$1,646.51	$1,646.51	$1,711.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,646.51 / $1,646.51 / $2,076.62	Professional		$1,646.51	$1,646.51	$2,076.62