Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.83 / $1,508.49 / $2,792.28	Facility		$1,273.83	$1,508.49	$2,792.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,273.83 / $1,742.28 / $2,185.39	Professional		$1,273.83	$1,742.28	$2,185.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,466.35 / $3,535.68 / $6,932.70	Facility		$3,466.35	$3,535.68	$6,932.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,932.42 / $1,932.42 / $5,372.30	Professional		$1,932.42	$1,932.42	$5,372.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,685.81 / $2,887.97 / $2,887.97	Facility		$2,685.81	$2,887.97	$2,887.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,887.97 / $2,887.97 / $2,887.97	Professional		$2,887.97	$2,887.97	$2,887.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $2,476.09	Facility		$2,476.09	$2,476.09	$2,476.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $2,476.09	Professional		$1,807.55	$1,807.55	$2,476.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,466.35 / $7,799.29	Facility		$319.00	$3,466.35	$7,799.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,789.91 / $2,599.76 / $6,239.43	Professional		$1,789.91	$2,599.76	$6,239.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.47 / $1,865.47 / $1,865.47	Facility		$1,865.47	$1,865.47	$1,865.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,865.47 / $2,083.98 / $2,485.71	Professional		$1,865.47	$2,083.98	$2,485.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,476.09 / $3,466.35	Facility		$597.00	$2,476.09	$3,466.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $2,065.15 / $5,164.85	Professional		$1,807.55	$2,065.15	$5,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.88 / $2,079.81 / $3,119.72	Professional		$1,152.88	$2,079.81	$3,119.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,083.98 / $2,083.98 / $2,165.64	Facility		$2,083.98	$2,083.98	$2,165.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,865.47 / $2,083.98 / $2,214.21	Professional		$1,865.47	$2,083.98	$2,214.21