Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.78 / $1,031.18 / $1,908.76	Facility		$870.78	$1,031.18	$1,908.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.60 / $1,031.18 / $1,493.89	Professional		$838.60	$1,031.18	$1,493.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,369.54 / $2,416.92 / $4,739.08	Facility		$2,369.54	$2,416.92	$4,739.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.78 / $1,085.78 / $3,461.30	Professional		$1,085.78	$1,085.78	$3,461.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,835.98 / $1,974.17 / $1,974.17	Facility		$1,835.98	$1,974.17	$1,974.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,974.17 / $1,974.17 / $1,974.17	Professional		$1,974.17	$1,974.17	$1,974.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $1,316.65	Facility		$1,316.65	$1,316.65	$1,316.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $961.15 / $1,316.65	Professional		$961.15	$961.15	$1,316.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,369.54 / $5,331.47	Facility		$319.00	$2,369.54	$5,331.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.74 / $1,706.07 / $4,265.17	Professional		$1,204.74	$1,706.07	$4,265.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $909.00 / $909.00 / $909.00	Facility		$909.00	$909.00	$909.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,424.58 / $1,699.19	Professional		$909.00	$1,424.58	$1,699.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,316.65 / $2,369.54	Facility		$597.00	$1,316.65	$2,369.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,316.65 / $2,949.38	Professional		$961.15	$1,316.65	$2,949.38
United Facility/Professional Professional Modifier Low / Median / High Price $788.09 / $1,273.27 / $2,042.37	Professional		$788.09	$1,273.27	$2,042.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,424.58 / $1,424.58 / $1,480.41	Facility		$1,424.58	$1,424.58	$1,480.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,424.58 / $1,513.62	Professional		$909.00	$1,424.58	$1,513.62