Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.68 / $1,617.25 / $2,993.60	Facility		$1,365.68	$1,617.25	$2,993.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.68 / $1,639.48 / $2,342.94	Professional		$1,365.68	$1,639.48	$2,342.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,716.28 / $3,790.61 / $7,432.56	Facility		$3,716.28	$3,790.61	$7,432.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,068.50 / $2,068.50 / $5,772.73	Professional		$2,068.50	$2,068.50	$5,772.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,879.46 / $3,096.19 / $3,096.19	Facility		$2,879.46	$3,096.19	$3,096.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,096.19 / $3,096.19 / $3,096.19	Professional		$3,096.19	$3,096.19	$3,096.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $2,463.07	Facility		$2,463.07	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $2,463.07	Professional		$1,798.04	$1,798.04	$2,463.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,716.28 / $8,361.62	Facility		$319.00	$3,716.28	$8,361.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,918.97 / $2,750.05 / $6,689.30	Professional		$1,918.97	$2,750.05	$6,689.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,257.15 / $2,257.15 / $2,257.15	Facility		$2,257.15	$2,257.15	$2,257.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,257.15 / $2,708.58	Professional		$2,234.23	$2,257.15	$2,708.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,463.07 / $3,716.28	Facility		$597.00	$2,463.07	$3,716.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,296.84 / $5,517.66	Professional		$1,798.04	$2,296.84	$5,517.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $2,229.77 / $3,399.01	Professional		$1,236.00	$2,229.77	$3,399.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $2,483.11	Facility		$2,234.23	$2,234.23	$2,483.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $2,373.88	Professional		$2,234.23	$2,234.23	$2,373.88