Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.94 / $1,039.66 / $1,924.46	Facility		$877.94	$1,039.66	$1,924.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.94 / $1,053.95 / $1,506.18	Professional		$877.94	$1,053.95	$1,506.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,389.03 / $2,436.81 / $4,778.06	Facility		$2,389.03	$2,436.81	$4,778.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.86 / $1,335.86 / $3,711.04	Professional		$1,335.86	$1,335.86	$3,711.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,851.08 / $1,990.41 / $1,990.41	Facility		$1,851.08	$1,990.41	$1,990.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,990.41 / $1,990.41 / $1,990.41	Professional		$1,990.41	$1,990.41	$1,990.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,366.32	Facility		$1,366.32	$1,366.32	$1,366.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,366.32	Professional		$997.41	$997.41	$1,366.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,389.03 / $5,375.32	Facility		$319.00	$2,389.03	$5,375.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.22 / $1,767.88 / $4,300.25	Professional		$1,352.22	$1,767.88	$4,300.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,690.28 / $1,690.28 / $1,690.28	Facility		$1,690.28	$1,690.28	$1,690.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,508.12 / $1,602.37 / $1,990.41	Professional		$1,508.12	$1,602.37	$1,990.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,366.32 / $2,389.03	Facility		$597.00	$1,366.32	$2,389.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $3,547.03	Professional		$997.41	$1,366.32	$3,547.03
United Facility/Professional Professional Modifier Low / Median / High Price $794.58 / $1,441.53 / $2,150.13	Professional		$794.58	$1,441.53	$2,150.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,508.12 / $1,508.12 / $1,508.12	Facility		$1,508.12	$1,508.12	$1,508.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,508.12 / $1,508.12 / $1,690.28	Professional		$1,508.12	$1,508.12	$1,690.28