Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.20 / $1,410.63 / $2,611.15	Facility		$1,191.20	$1,410.63	$2,611.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.20 / $1,410.63 / $2,043.63	Professional		$1,191.20	$1,410.63	$2,043.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,241.50 / $3,306.33 / $6,483.00	Facility		$3,241.50	$3,306.33	$6,483.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,693.61 / $1,693.61 / $4,996.14	Professional		$1,693.61	$1,693.61	$4,996.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,511.60 / $2,700.64 / $2,700.64	Facility		$2,511.60	$2,700.64	$2,700.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,700.64 / $2,700.64 / $2,700.64	Professional		$2,700.64	$2,700.64	$2,700.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $2,125.02	Facility		$2,125.02	$2,125.02	$2,125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $2,125.02	Professional		$1,551.26	$1,551.26	$2,125.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,241.50 / $7,293.38	Facility		$319.00	$3,241.50	$7,293.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,673.81 / $2,333.88 / $5,834.70	Professional		$1,673.81	$2,333.88	$5,834.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,868.50 / $1,868.50 / $1,868.50	Facility		$1,868.50	$1,868.50	$1,868.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.50 / $1,948.80 / $2,324.46	Professional		$1,868.50	$1,948.80	$2,324.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,125.02 / $3,241.50	Facility		$597.00	$2,125.02	$3,241.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,931.20 / $4,760.16	Professional		$1,551.26	$1,931.20	$4,760.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.09 / $1,852.57 / $2,964.78	Professional		$1,078.09	$1,852.57	$2,964.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,948.80 / $1,948.80 / $2,025.17	Facility		$1,948.80	$1,948.80	$2,025.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,868.50 / $1,948.80 / $2,070.60	Professional		$1,868.50	$1,948.80	$2,070.60