Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.27 / $1,327.82 / $2,457.85	Facility		$1,121.27	$1,327.82	$2,457.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.33 / $1,327.82 / $1,923.65	Professional		$1,023.33	$1,327.82	$1,923.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,051.19 / $3,112.21 / $6,102.38	Facility		$3,051.19	$3,112.21	$6,102.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.04 / $1,398.04 / $4,457.03	Professional		$1,398.04	$1,398.04	$4,457.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,364.13 / $2,542.08 / $2,542.08	Facility		$2,364.13	$2,542.08	$2,542.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,542.08 / $2,542.08 / $2,542.08	Professional		$2,542.08	$2,542.08	$2,542.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,665.63	Facility		$1,665.63	$1,665.63	$1,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $1,665.63	Professional		$1,215.91	$1,215.91	$1,665.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,051.19 / $6,865.18	Facility		$319.00	$3,051.19	$6,865.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.30 / $2,196.86 / $5,492.14	Professional		$1,551.30	$2,196.86	$5,492.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,212.00 / $1,212.00 / $1,212.00	Facility		$1,212.00	$1,212.00	$1,212.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,834.39 / $2,187.98	Professional		$1,212.00	$1,834.39	$2,187.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,665.63 / $3,051.19	Facility		$597.00	$1,665.63	$3,051.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $3,731.25	Professional		$1,215.91	$1,665.63	$3,731.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,014.80 / $1,639.62 / $2,629.90	Professional		$1,014.80	$1,639.62	$2,629.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,834.39 / $1,834.39 / $1,906.27	Facility		$1,834.39	$1,834.39	$1,906.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,834.39 / $1,949.04	Professional		$1,212.00	$1,834.39	$1,949.04