Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.29 / $1,455.73 / $2,694.63	Facility		$1,229.29	$1,455.73	$2,694.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.29 / $1,475.73 / $2,108.96	Professional		$1,229.29	$1,475.73	$2,108.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,345.13 / $3,412.03 / $6,690.26	Facility		$3,345.13	$3,412.03	$6,690.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,838.86 / $1,838.86 / $5,155.78	Professional		$1,838.86	$1,838.86	$5,155.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,591.89 / $2,786.98 / $2,786.98	Facility		$2,591.89	$2,786.98	$2,786.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,786.98 / $2,786.98 / $2,786.98	Professional		$2,786.98	$2,786.98	$2,786.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $2,217.07	Facility		$2,217.07	$2,217.07	$2,217.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,618.46 / $2,217.07	Professional		$1,618.46	$1,618.46	$2,217.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,345.13 / $7,526.54	Facility		$319.00	$3,345.13	$7,526.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,973.63 / $2,508.85 / $6,021.23	Professional		$1,973.63	$2,508.85	$6,021.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,536.48 / $2,536.48 / $2,536.48	Facility		$2,536.48	$2,536.48	$2,536.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,011.11 / $2,136.80 / $2,786.98	Professional		$2,011.11	$2,136.80	$2,786.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,217.07 / $3,345.13	Facility		$597.00	$2,217.07	$3,345.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,067.46 / $4,966.41	Professional		$1,618.46	$2,067.46	$4,966.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $2,018.42 / $2,301.38	Facility		$1,153.33	$2,018.42	$2,301.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.57 / $2,007.08 / $2,883.25	Professional		$1,112.57	$2,007.08	$2,883.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,011.11 / $2,011.11 / $2,235.13	Facility		$2,011.11	$2,011.11	$2,235.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,011.11 / $2,011.11 / $2,536.48	Professional		$2,011.11	$2,011.11	$2,536.48