Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.21 / $2,096.29 / $3,880.34	Facility		$1,770.21	$2,096.29	$3,880.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,770.21 / $2,125.10 / $3,036.97	Professional		$1,770.21	$2,125.10	$3,036.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,817.09 / $4,913.43 / $9,634.18	Facility		$4,817.09	$4,913.43	$9,634.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,965.25 / $2,965.25 / $7,902.39	Professional		$2,965.25	$2,965.25	$7,902.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,732.40 / $4,013.33 / $4,013.33	Facility		$3,732.40	$4,013.33	$4,013.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,013.33 / $4,013.33 / $4,013.33	Professional		$4,013.33	$4,013.33	$4,013.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $2,801.20	Professional		$2,044.88	$2,044.88	$2,801.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,817.09 / $10,838.45	Facility		$319.00	$4,817.09	$10,838.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,487.39 / $3,564.65 / $8,670.76	Professional		$2,487.39	$3,564.65	$8,670.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,925.76 / $2,925.76 / $2,925.76	Facility		$2,925.76	$2,925.76	$2,925.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,896.06 / $2,925.76 / $3,510.91	Professional		$2,896.06	$2,925.76	$3,510.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,801.20 / $4,817.09	Facility		$597.00	$2,801.20	$4,817.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,801.20 / $7,466.49	Professional		$2,044.88	$2,801.20	$7,466.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.13 / $2,890.25 / $4,405.85	Professional		$1,602.13	$2,890.25	$4,405.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,896.06 / $2,896.06 / $3,218.65	Facility		$2,896.06	$2,896.06	$3,218.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,896.06 / $2,896.06 / $3,077.07	Professional		$2,896.06	$2,896.06	$3,077.07