Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.41 / $1,172.83 / $2,170.98	Facility		$990.41	$1,172.83	$2,170.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.41 / $1,188.94 / $1,699.13	Professional		$990.41	$1,188.94	$1,699.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,695.08 / $2,748.98 / $5,390.16	Facility		$2,695.08	$2,748.98	$5,390.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.71 / $1,487.71 / $4,165.58	Professional		$1,487.71	$1,487.71	$4,165.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,088.21 / $2,245.39 / $2,245.39	Facility		$2,088.21	$2,245.39	$2,245.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,245.39 / $2,245.39 / $2,245.39	Professional		$2,245.39	$2,245.39	$2,245.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $1,786.24	Facility		$1,786.24	$1,786.24	$1,786.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $1,786.24	Professional		$1,303.96	$1,303.96	$1,786.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,695.08 / $6,063.93	Facility		$319.00	$2,695.08	$6,063.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.57 / $1,994.36 / $4,851.14	Professional		$1,558.57	$1,994.36	$4,851.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,948.21 / $1,948.21 / $1,948.21	Facility		$1,948.21	$1,948.21	$1,948.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,620.30 / $1,721.56 / $2,245.39	Professional		$1,620.30	$1,721.56	$2,245.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,786.24 / $2,695.08	Facility		$597.00	$1,786.24	$2,695.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,665.69 / $4,001.25	Professional		$1,303.96	$1,665.69	$4,001.25
United Facility/Professional Professional Modifier Low / Median / High Price $896.36 / $1,640.82 / $2,322.96	Professional		$896.36	$1,640.82	$2,322.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,440.62 / $1,620.30 / $1,620.30	Facility		$1,440.62	$1,620.30	$1,620.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,620.30 / $1,620.30 / $1,948.21	Professional		$1,620.30	$1,620.30	$1,948.21