Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.47 / $1,414.50 / $2,618.30	Facility		$1,194.47	$1,414.50	$2,618.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.72 / $1,414.50 / $2,049.23	Professional		$1,098.72	$1,414.50	$2,049.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,250.38 / $3,315.39 / $6,500.76	Facility		$3,250.38	$3,315.39	$6,500.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,489.31 / $1,489.31 / $4,747.99	Professional		$1,489.31	$1,489.31	$4,747.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,518.46 / $2,708.03 / $2,708.03	Facility		$2,518.46	$2,708.03	$2,708.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,708.03 / $2,708.03 / $2,708.03	Professional		$2,708.03	$2,708.03	$2,708.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $1,523.27	Facility		$1,523.27	$1,523.27	$1,523.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $1,523.27	Professional		$1,111.99	$1,111.99	$1,523.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,250.38 / $7,313.36	Facility		$319.00	$3,250.38	$7,313.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,678.39 / $2,340.27 / $5,850.68	Professional		$1,678.39	$2,340.27	$5,850.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,893.75 / $1,893.75 / $1,893.75	Facility		$1,893.75	$1,893.75	$1,893.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,893.75 / $1,954.14 / $2,330.84	Professional		$1,893.75	$1,954.14	$2,330.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,523.27 / $3,250.38	Facility		$597.00	$1,523.27	$3,250.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $4,283.91	Professional		$1,111.99	$1,523.27	$4,283.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.05 / $1,754.79 / $2,801.58	Professional		$1,081.05	$1,754.79	$2,801.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,954.14 / $1,954.14 / $2,030.72	Facility		$1,954.14	$1,954.14	$2,030.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,893.75 / $1,954.14 / $2,076.28	Professional		$1,893.75	$1,954.14	$2,076.28