Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.73 / $983.75 / $1,820.98	Facility		$830.73	$983.75	$1,820.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.73 / $1,106.81 / $1,425.19	Professional		$830.73	$1,106.81	$1,425.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,260.57 / $2,305.78 / $4,521.14	Facility		$2,260.57	$2,305.78	$4,521.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,381.04 / $1,381.04 / $3,680.47	Professional		$1,381.04	$1,381.04	$3,680.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,751.54 / $1,883.38 / $1,883.38	Facility		$1,751.54	$1,883.38	$1,883.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,883.38 / $1,883.38 / $1,883.38	Professional		$1,883.38	$1,883.38	$1,883.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $1,747.16	Facility		$1,747.16	$1,747.16	$1,747.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $1,747.16	Professional		$1,275.43	$1,275.43	$1,747.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,260.57 / $5,086.28	Facility		$319.00	$2,260.57	$5,086.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.28 / $1,695.43 / $4,069.03	Professional		$1,167.28	$1,695.43	$4,069.03
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 / $1,359.06 / $1,621.04	Professional		$1,212.00	$1,359.06	$1,621.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,747.16 / $2,260.57	Facility		$597.00	$1,747.16	$2,260.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,346.78 / $3,368.25	Professional		$1,275.43	$1,346.78	$3,368.25
United Facility/Professional Professional Modifier Low / Median / High Price $751.85 / $1,356.34 / $2,072.46	Professional		$751.85	$1,356.34	$2,072.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,359.06 / $1,359.06 / $1,412.32	Facility		$1,359.06	$1,359.06	$1,412.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,212.00 / $1,359.06 / $1,444.00	Professional		$1,212.00	$1,359.06	$1,444.00