Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.55 / $930.26 / $1,721.97	Facility		$785.55	$930.26	$1,721.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.55 / $943.04 / $1,347.70	Professional		$785.55	$943.04	$1,347.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.66 / $2,180.41 / $4,275.32	Facility		$2,137.66	$2,180.41	$4,275.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,315.88 / $1,315.88 / $3,506.82	Professional		$1,315.88	$1,315.88	$3,506.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,656.31 / $1,780.98 / $1,780.98	Facility		$1,656.31	$1,780.98	$1,780.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,780.98 / $1,780.98 / $1,780.98	Professional		$1,780.98	$1,780.98	$1,780.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $1,222.54	Professional		$892.45	$892.45	$1,222.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,137.66 / $4,809.74	Facility		$319.00	$2,137.66	$4,809.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.82 / $1,581.87 / $3,847.79	Professional		$1,103.82	$1,581.87	$3,847.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.33 / $1,298.33 / $1,298.33	Facility		$1,298.33	$1,298.33	$1,298.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.16 / $1,298.33 / $1,558.00	Professional		$1,285.16	$1,298.33	$1,558.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,222.54 / $2,137.66	Facility		$597.00	$1,222.54	$2,137.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,222.54 / $3,313.37	Professional		$892.45	$1,222.54	$3,313.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.67 / $2,608.67 / $2,608.67	Facility		$2,608.67	$2,608.67	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $710.97 / $1,282.59 / $1,924.67	Professional		$710.97	$1,282.59	$1,924.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,285.16 / $1,285.16 / $1,428.31	Facility		$1,285.16	$1,285.16	$1,428.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,285.16 / $1,285.16 / $1,365.48	Professional		$1,285.16	$1,285.16	$1,365.48