Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.50 / $1,157.56 / $2,142.69	Facility		$977.50	$1,157.56	$2,142.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.50 / $1,157.56 / $1,676.98	Professional		$977.50	$1,157.56	$1,676.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,659.95 / $2,713.15 / $5,319.90	Facility		$2,659.95	$2,713.15	$5,319.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $1,369.38 / $4,060.68	Professional		$1,369.38	$1,369.38	$4,060.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,060.98 / $2,216.12 / $2,216.12	Facility		$2,060.98	$2,216.12	$2,216.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,216.12 / $2,216.12 / $2,216.12	Professional		$2,216.12	$2,216.12	$2,216.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,424.68	Professional		$1,040.02	$1,040.02	$1,424.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,659.95 / $5,984.89	Facility		$319.00	$2,659.95	$5,984.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.52 / $1,915.16 / $4,787.91	Professional		$1,373.52	$1,915.16	$4,787.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.80 / $1,494.80 / $1,494.80	Facility		$1,494.80	$1,494.80	$1,494.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.80 / $1,599.17 / $1,907.44	Professional		$1,494.80	$1,599.17	$1,907.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,424.68 / $2,659.95	Facility		$597.00	$1,424.68	$2,659.95
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,424.68 / $4,348.59	Professional		$1,040.02	$1,424.68	$4,348.59
United Facility/Professional Professional Modifier Low / Median / High Price $884.68 / $1,519.07 / $2,394.92	Professional		$884.68	$1,519.07	$2,394.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,599.17 / $1,599.17 / $1,661.84	Facility		$1,599.17	$1,599.17	$1,661.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,494.80 / $1,599.17 / $1,699.12	Professional		$1,494.80	$1,599.17	$1,699.12