Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.20 / $1,669.97 / $3,091.19	Facility		$1,410.20	$1,669.97	$3,091.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,410.20 / $1,825.16 / $2,419.33	Professional		$1,410.20	$1,825.16	$2,419.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,837.43 / $3,914.18 / $7,674.86	Facility		$3,837.43	$3,914.18	$7,674.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,262.55 / $2,262.55 / $6,084.92	Professional		$2,262.55	$2,262.55	$6,084.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,973.33 / $3,197.13 / $3,197.13	Facility		$2,973.33	$3,197.13	$3,197.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,197.13 / $3,197.13 / $3,197.13	Professional		$3,197.13	$3,197.13	$3,197.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $2,970.85	Facility		$2,970.85	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $2,970.85	Professional		$2,168.71	$2,168.71	$2,970.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,837.43 / $8,634.21	Facility		$319.00	$3,837.43	$8,634.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,981.53 / $2,878.07 / $6,907.37	Professional		$1,981.53	$2,878.07	$6,907.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $2,020.00 / $2,020.00	Facility		$2,020.00	$2,020.00	$2,020.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.00 / $2,307.08 / $2,751.80	Professional		$2,020.00	$2,307.08	$2,751.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,970.85 / $3,837.43	Facility		$597.00	$2,970.85	$3,837.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,286.23 / $5,717.77	Professional		$2,168.71	$2,286.23	$5,717.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.30 / $2,191.51 / $3,430.78	Professional		$1,276.30	$2,191.51	$3,430.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,307.08 / $2,307.08 / $2,397.48	Facility		$2,307.08	$2,307.08	$2,397.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,020.00 / $2,307.08 / $2,451.27	Professional		$2,020.00	$2,307.08	$2,451.27