Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.48 / $801.10 / $1,482.87	Facility		$676.48	$801.10	$1,482.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.48 / $812.09 / $1,160.58	Professional		$676.48	$812.09	$1,160.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,840.86 / $1,877.68 / $3,681.72	Facility		$1,840.86	$1,877.68	$3,681.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.32 / $1,029.32 / $2,853.02	Professional		$1,029.32	$1,029.32	$2,853.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,426.33 / $1,533.69 / $1,533.69	Facility		$1,426.33	$1,533.69	$1,533.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,533.69 / $1,533.69 / $1,533.69	Professional		$1,533.69	$1,533.69	$1,533.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,329.56	Facility		$1,329.56	$1,329.56	$1,329.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $1,329.56	Professional		$970.58	$970.58	$1,329.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,840.86 / $4,141.93	Facility		$319.00	$1,840.86	$4,141.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.94 / $1,362.24 / $3,313.55	Professional		$1,041.94	$1,362.24	$3,313.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,302.43	Facility		$1,302.43	$1,302.43	$1,302.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,162.06 / $1,234.68 / $1,533.69	Professional		$1,162.06	$1,234.68	$1,533.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,329.56 / $1,840.86	Facility		$597.00	$1,329.56	$1,840.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $1,128.33 / $2,853.33	Professional		$970.58	$1,128.33	$2,853.33
United Facility/Professional Professional Modifier Low / Median / High Price $612.25 / $1,120.74 / $1,657.43	Professional		$612.25	$1,120.74	$1,657.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,162.06 / $1,162.06 / $1,162.06	Facility		$1,162.06	$1,162.06	$1,162.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,162.06 / $1,162.06 / $1,302.43	Professional		$1,162.06	$1,162.06	$1,302.43