Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.89 / $927.11 / $1,716.12	Facility		$782.89	$927.11	$1,716.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.89 / $927.11 / $1,343.12	Professional		$782.89	$927.11	$1,343.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,130.39 / $2,173.00 / $4,260.78	Facility		$2,130.39	$2,173.00	$4,260.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.56 / $1,107.56 / $3,272.95	Professional		$1,107.56	$1,107.56	$3,272.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,650.68 / $1,774.93 / $1,774.93	Facility		$1,650.68	$1,774.93	$1,774.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,774.93 / $1,774.93 / $1,774.93	Professional		$1,774.93	$1,774.93	$1,774.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,132.82	Professional		$826.96	$826.96	$1,132.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,130.39 / $4,793.38	Facility		$319.00	$2,130.39	$4,793.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.75 / $1,533.88 / $3,834.70	Professional		$1,087.75	$1,533.88	$3,834.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $1,060.50 / $1,060.50	Facility		$1,060.50	$1,060.50	$1,060.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.50 / $1,280.81 / $1,527.71	Professional		$1,060.50	$1,280.81	$1,527.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,132.82 / $2,130.39	Facility		$597.00	$1,132.82	$2,130.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $1,132.82 / $3,392.81	Professional		$826.96	$1,132.82	$3,392.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $708.56 / $1,209.95 / $1,836.25	Professional		$708.56	$1,209.95	$1,836.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,280.81 / $1,280.81 / $1,330.99	Facility		$1,280.81	$1,280.81	$1,330.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,060.50 / $1,280.81 / $1,360.85	Professional		$1,060.50	$1,280.81	$1,360.85