Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.90 / $1,097.65 / $2,031.80	Facility		$926.90	$1,097.65	$2,031.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.90 / $1,244.96 / $1,590.19	Professional		$926.90	$1,244.96	$1,590.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,522.29 / $2,572.73 / $5,044.58	Facility		$2,522.29	$2,572.73	$5,044.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.84 / $1,500.84 / $3,999.73	Professional		$1,500.84	$1,500.84	$3,999.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,954.33 / $2,101.42 / $2,101.42	Facility		$1,954.33	$2,101.42	$2,101.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,101.42 / $2,101.42 / $2,101.42	Professional		$2,101.42	$2,101.42	$2,101.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $1,960.76	Facility		$1,960.76	$1,960.76	$1,960.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $1,960.76	Professional		$1,431.35	$1,431.35	$1,960.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,522.29 / $5,675.15	Facility		$319.00	$2,522.29	$5,675.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.42 / $1,891.72 / $4,540.12	Professional		$1,302.42	$1,891.72	$4,540.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,363.50 / $1,363.50 / $1,363.50	Facility		$1,363.50	$1,363.50	$1,363.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,363.50 / $1,516.41 / $1,808.72	Professional		$1,363.50	$1,516.41	$1,808.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,960.76 / $2,522.29	Facility		$597.00	$1,960.76	$2,522.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,502.70 / $3,758.21	Professional		$1,431.35	$1,502.70	$3,758.21
United Facility/Professional Professional Modifier Low / Median / High Price $838.90 / $1,440.45 / $2,176.83	Professional		$838.90	$1,440.45	$2,176.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,516.41 / $1,516.41 / $1,575.83	Facility		$1,516.41	$1,516.41	$1,575.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,363.50 / $1,516.41 / $1,611.18	Professional		$1,363.50	$1,516.41	$1,611.18