Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.77 / $810.91 / $1,501.03	Facility		$684.77	$810.91	$1,501.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.77 / $810.91 / $1,174.79	Professional		$684.77	$810.91	$1,174.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,863.38 / $1,900.65 / $3,726.76	Facility		$1,863.38	$1,900.65	$3,726.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.21 / $1,084.21 / $2,954.74	Professional		$1,084.21	$1,084.21	$2,954.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,443.80 / $1,552.47 / $1,552.47	Facility		$1,443.80	$1,552.47	$1,552.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,552.47 / $1,552.47 / $1,552.47	Professional		$1,552.47	$1,552.47	$1,552.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,530.70	Facility		$1,530.70	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $1,530.70	Professional		$1,117.41	$1,117.41	$1,530.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,863.38 / $4,192.60	Facility		$319.00	$1,863.38	$4,192.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $962.20 / $1,341.63 / $3,354.08	Professional		$962.20	$1,341.63	$3,354.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $1,010.00 / $1,010.00	Facility		$1,010.00	$1,010.00	$1,010.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $1,120.29 / $1,336.23	Professional		$1,010.00	$1,120.29	$1,336.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,530.70 / $1,863.38	Facility		$597.00	$1,530.70	$1,863.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,110.16 / $1,117.41 / $3,191.70	Professional		$1,110.16	$1,117.41	$3,191.70
United Facility/Professional Professional Modifier Low / Median / High Price $619.75 / $1,118.03 / $1,704.31	Professional		$619.75	$1,118.03	$1,704.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,120.29 / $1,120.29 / $1,164.18	Facility		$1,120.29	$1,120.29	$1,164.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $1,120.29 / $1,190.30	Professional		$1,010.00	$1,120.29	$1,190.30