Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.19 / $1,544.43 / $2,858.82	Facility		$1,304.19	$1,544.43	$2,858.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.19 / $1,544.43 / $2,237.46	Professional		$1,304.19	$1,544.43	$2,237.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.96 / $3,619.94 / $7,097.92	Facility		$3,548.96	$3,619.94	$7,097.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,744.37 / $1,744.37 / $5,320.32	Professional		$1,744.37	$1,744.37	$5,320.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,749.81 / $2,956.79 / $2,956.79	Facility		$2,749.81	$2,956.79	$2,956.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,956.79 / $2,956.79 / $2,956.79	Professional		$2,956.79	$2,956.79	$2,956.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,784.15	Professional		$1,302.43	$1,302.43	$1,784.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,548.96 / $7,985.16	Facility		$319.00	$3,548.96	$7,985.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.32 / $2,555.25 / $6,388.13	Professional		$1,850.32	$2,555.25	$6,388.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,312.90 / $2,312.90 / $2,312.90	Facility		$2,312.90	$2,312.90	$2,312.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,133.65 / $2,267.00 / $2,775.48	Professional		$2,133.65	$2,267.00	$2,775.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,784.15 / $3,548.96	Facility		$597.00	$1,784.15	$3,548.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $5,265.47	Professional		$1,302.43	$1,784.15	$5,265.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.35 / $2,015.61 / $3,058.94	Professional		$1,180.35	$2,015.61	$3,058.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,133.65 / $2,133.65 / $2,217.26	Facility		$2,133.65	$2,133.65	$2,217.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,133.65 / $2,133.65 / $2,312.90	Professional		$2,133.65	$2,133.65	$2,312.90