Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.40 / $1,205.99 / $2,232.35	Facility		$1,018.40	$1,205.99	$2,232.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.40 / $1,222.58 / $1,747.15	Professional		$1,018.40	$1,222.58	$1,747.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,771.24 / $2,826.66 / $5,542.48	Facility		$2,771.24	$2,826.66	$5,542.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,705.93 / $1,705.93 / $4,546.30	Professional		$1,705.93	$1,705.93	$4,546.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,147.23 / $2,308.85 / $2,308.85	Facility		$2,147.23	$2,308.85	$2,308.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,308.85 / $2,308.85 / $2,308.85	Professional		$2,308.85	$2,308.85	$2,308.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $1,584.92	Facility		$1,584.92	$1,584.92	$1,584.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $1,584.92	Professional		$1,156.99	$1,156.99	$1,584.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,771.24 / $6,235.29	Facility		$319.00	$2,771.24	$6,235.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.55 / $2,050.71 / $4,988.22	Professional		$1,568.55	$2,050.71	$4,988.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,960.69 / $1,960.69 / $1,960.69	Facility		$1,960.69	$1,960.69	$1,960.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,749.41 / $1,858.74 / $2,308.85	Professional		$1,749.41	$1,858.74	$2,308.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,584.92 / $2,771.24	Facility		$597.00	$1,584.92	$2,771.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $4,114.68	Professional		$1,156.99	$1,584.92	$4,114.68
United Facility/Professional Professional Modifier Low / Median / High Price $921.70 / $1,672.16 / $2,495.12	Professional		$921.70	$1,672.16	$2,495.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,749.41 / $1,749.41 / $1,749.41	Facility		$1,749.41	$1,749.41	$1,749.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,749.41 / $1,749.41 / $1,960.69	Professional		$1,749.41	$1,749.41	$1,960.69