Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.83 / $1,618.85 / $2,996.57	Facility		$1,592.83	$1,618.85	$2,996.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,592.83 / $1,641.12 / $2,345.28	Professional		$1,592.83	$1,641.12	$2,345.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,719.97 / $3,794.37 / $7,439.94	Facility		$3,719.97	$3,794.37	$7,439.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,053.24 / $3,053.24 / $6,554.96	Professional		$3,053.24	$3,053.24	$6,554.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,882.32 / $3,099.27 / $3,099.27	Facility		$2,882.32	$3,099.27	$3,099.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,099.27 / $3,099.27 / $3,099.27	Professional		$3,099.27	$3,099.27	$3,099.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,381.07	Facility		$2,381.07	$2,381.07	$2,381.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $2,381.07	Professional		$1,738.18	$1,738.18	$2,381.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,719.97 / $8,369.93	Facility		$319.00	$3,719.97	$8,369.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,105.54 / $2,752.78 / $6,695.95	Professional		$2,105.54	$2,752.78	$6,695.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,631.92 / $2,631.92 / $2,631.92	Facility		$2,631.92	$2,631.92	$2,631.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,402.23 / $2,552.38 / $3,099.27	Professional		$2,402.23	$2,552.38	$3,099.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,381.07 / $3,719.97	Facility		$597.00	$2,381.07	$3,719.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.14 / $1,738.18 / $5,523.28	Professional		$245.14	$1,738.18	$5,523.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.23 / $2,260.39 / $3,402.39	Professional		$1,237.23	$2,260.39	$3,402.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.07 / $2,489.73 / $2,489.73	Facility		$257.07	$2,489.73	$2,489.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,402.23 / $2,489.73 / $2,631.92	Professional		$2,402.23	$2,489.73	$2,631.92