Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.24 / $1,105.15 / $2,045.68	Facility		$933.24	$1,105.15	$2,045.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.19 / $1,105.15 / $1,601.06	Professional		$832.19	$1,105.15	$1,601.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,539.52 / $2,590.31 / $5,079.04	Facility		$2,539.52	$2,590.31	$5,079.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.24 / $1,157.24 / $3,774.72	Professional		$1,157.24	$1,157.24	$3,774.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,967.68 / $2,115.79 / $2,115.79	Facility		$1,967.68	$2,115.79	$2,115.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,115.79 / $2,115.79 / $2,115.79	Professional		$2,115.79	$2,115.79	$2,115.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,539.52 / $5,713.92	Facility		$319.00	$2,539.52	$5,713.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,311.33 / $1,835.77 / $4,571.14	Professional		$1,311.33	$1,835.77	$4,571.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.77 / $1,835.77 / $1,835.77	Facility		$1,835.77	$1,835.77	$1,835.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,526.77 / $1,622.20 / $2,115.79	Professional		$1,526.77	$1,622.20	$2,115.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,551.30 / $2,539.52	Facility		$597.00	$1,551.30	$2,539.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $3,475.31	Professional		$1,132.45	$1,551.30	$3,475.31
United Facility/Professional Professional Modifier Low / Median / High Price $844.63 / $1,364.61 / $2,328.21	Professional		$844.63	$1,364.61	$2,328.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,357.47 / $1,526.77 / $1,526.77	Facility		$1,357.47	$1,526.77	$1,526.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,526.77 / $1,526.77 / $1,835.77	Professional		$1,526.77	$1,526.77	$1,835.77