Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.29 / $1,215.34 / $2,249.67	Facility		$1,026.29	$1,215.34	$2,249.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.29 / $1,215.34 / $1,760.70	Professional		$1,026.29	$1,215.34	$1,760.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,792.73 / $2,848.58 / $5,585.46	Facility		$2,792.73	$2,848.58	$5,585.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.41 / $1,619.41 / $4,458.59	Professional		$1,619.41	$1,619.41	$4,458.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,163.89 / $2,326.76 / $2,326.76	Facility		$2,163.89	$2,326.76	$2,326.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,326.76 / $2,326.76 / $2,326.76	Professional		$2,326.76	$2,326.76	$2,326.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,283.76	Professional		$1,667.14	$1,667.14	$2,283.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,792.73 / $6,283.64	Facility		$319.00	$2,792.73	$6,283.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.05 / $2,018.81 / $5,026.91	Professional		$1,615.05	$2,018.81	$5,026.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,018.81 / $2,018.81 / $2,018.81	Facility		$2,018.81	$2,018.81	$2,018.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,679.01 / $1,783.95 / $2,326.76	Professional		$1,679.01	$1,783.95	$2,326.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,283.76 / $2,792.73	Facility		$597.00	$2,283.76	$2,792.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,726.06 / $4,222.43	Professional		$1,667.14	$1,726.06	$4,222.43
United Facility/Professional Professional Modifier Low / Median / High Price $928.85 / $1,766.50 / $2,322.12	Professional		$928.85	$1,766.50	$2,322.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,492.82 / $1,679.01 / $1,679.01	Facility		$1,492.82	$1,679.01	$1,679.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,679.01 / $1,679.01 / $2,018.81	Professional		$1,679.01	$1,679.01	$2,018.81