Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.22 / $1,478.15 / $2,736.12	Facility		$1,248.22	$1,478.15	$2,736.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.22 / $1,478.15 / $2,141.42	Professional		$1,248.22	$1,478.15	$2,141.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,396.64 / $3,464.57 / $6,793.28	Facility		$3,396.64	$3,464.57	$6,793.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,947.88 / $1,947.88 / $5,385.96	Professional		$1,947.88	$1,947.88	$5,385.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,631.80 / $2,829.89 / $2,829.89	Facility		$2,631.80	$2,829.89	$2,829.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,829.89 / $2,829.89 / $2,829.89	Professional		$2,829.89	$2,829.89	$2,829.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $2,561.34	Facility		$2,561.34	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $2,561.34	Professional		$1,869.78	$1,869.78	$2,561.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,396.64 / $7,642.44	Facility		$319.00	$3,396.64	$7,642.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,753.91 / $2,446.88 / $6,113.95	Professional		$1,753.91	$2,446.88	$6,113.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,171.50 / $2,171.50 / $2,171.50	Facility		$2,171.50	$2,171.50	$2,171.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,042.07 / $2,169.69 / $2,605.80	Professional		$2,042.07	$2,169.69	$2,605.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,561.34 / $3,396.64	Facility		$597.00	$2,561.34	$3,396.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,023.63 / $5,060.99	Professional		$1,869.78	$2,023.63	$5,060.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.70 / $2,037.98 / $3,058.20	Professional		$1,129.70	$2,037.98	$3,058.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,042.07 / $2,042.07 / $2,122.10	Facility		$2,042.07	$2,042.07	$2,122.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,042.07 / $2,042.07 / $2,171.50	Professional		$2,042.07	$2,042.07	$2,171.50