Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.52 / $1,421.67 / $2,631.57	Facility		$1,200.52	$1,421.67	$2,631.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $1,421.67 / $2,059.61	Professional		$1,108.67	$1,421.67	$2,059.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,266.85 / $3,332.19 / $6,533.70	Facility		$3,266.85	$3,332.19	$6,533.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,484.70 / $1,484.70 / $4,772.06	Professional		$1,484.70	$1,484.70	$4,772.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,531.23 / $2,721.76 / $2,721.76	Facility		$2,531.23	$2,721.76	$2,721.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,721.76 / $2,721.76 / $2,721.76	Professional		$2,721.76	$2,721.76	$2,721.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $1,787.17	Facility		$1,787.17	$1,787.17	$1,787.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $1,787.17	Professional		$1,304.63	$1,304.63	$1,787.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,266.85 / $7,350.41	Facility		$319.00	$3,266.85	$7,350.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.90 / $2,352.13 / $5,880.33	Professional		$1,686.90	$2,352.13	$5,880.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,100.80 / $2,100.80 / $2,100.80	Facility		$2,100.80	$2,100.80	$2,100.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,964.05 / $2,086.80 / $2,520.96	Professional		$1,964.05	$2,086.80	$2,520.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,787.17 / $3,266.85	Facility		$597.00	$1,787.17	$3,266.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,787.17 / $5,063.62	Professional		$1,304.63	$1,787.17	$5,063.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.53 / $1,763.68 / $2,940.17	Professional		$1,086.53	$1,763.68	$2,940.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,964.05 / $1,964.05 / $2,041.01	Facility		$1,964.05	$1,964.05	$2,041.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,964.05 / $1,964.05 / $2,100.80	Professional		$1,964.05	$1,964.05	$2,100.80