Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.28 / $1,424.93 / $2,637.62	Facility		$1,203.28	$1,424.93	$2,637.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.28 / $1,743.10 / $2,064.34	Professional		$1,203.28	$1,743.10	$2,064.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,274.36 / $3,339.85 / $6,548.72	Facility		$3,274.36	$3,339.85	$6,548.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.39 / $2,000.39 / $5,331.03	Professional		$2,000.39	$2,000.39	$5,331.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,537.06 / $2,728.02 / $2,728.02	Facility		$2,537.06	$2,728.02	$2,728.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,728.02 / $2,728.02 / $2,728.02	Professional		$2,728.02	$2,728.02	$2,728.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $2,694.60	Professional		$1,967.06	$1,967.06	$2,694.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,274.36 / $7,367.31	Facility		$319.00	$3,274.36	$7,367.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.77 / $2,455.77 / $5,893.85	Professional		$1,690.77	$2,455.77	$5,893.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.83 / $1,547.83 / $1,547.83	Facility		$1,547.83	$1,547.83	$1,547.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.83 / $1,968.56 / $2,348.03	Professional		$1,547.83	$1,968.56	$2,348.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,694.60 / $3,274.36	Facility		$597.00	$2,694.60	$3,274.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,950.78 / $1,967.06 / $5,608.49	Professional		$1,950.78	$1,967.06	$5,608.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.03 / $1,964.62 / $2,994.83	Professional		$1,089.03	$1,964.62	$2,994.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,968.56 / $1,968.56 / $2,045.70	Facility		$1,968.56	$1,968.56	$2,045.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,547.83 / $1,968.56 / $2,091.60	Professional		$1,547.83	$1,968.56	$2,091.60