Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $3,388.44	Facility		$1,071.52	$2,398.83	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,570.40	Professional		$1,258.93	$1,548.82	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,025.60	Facility		$3,019.95	$3,019.95	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,128.61	Professional		$1,659.59	$1,659.59	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,454.71	Facility		$2,290.87	$2,454.71	$2,454.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,786.30 / $50,118.72	Facility		$1,949.84	$4,786.30	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,951.21	Professional		$1,412.54	$1,412.54	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $11,481.54	Facility		$3,019.95	$5,011.87	$11,481.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $5,754.40	Professional		$1,819.70	$3,162.28	$5,754.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Facility		$1,778.28	$1,778.28	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Professional		$1,778.28	$1,778.28	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $50,118.72 / $75,857.76	Facility		$3,890.45	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $2,884.03	Professional		$1,949.84	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,090.30 / $3,630.78	Facility		$1,122.02	$3,090.30	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,454.71	Professional		$977.24	$1,584.89	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,949.84	Facility		$1,778.28	$1,778.28	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Professional		$1,778.28	$1,778.28	$1,862.09