Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.30 / $952.47 / $1,763.06	Facility		$804.30	$952.47	$1,763.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.39 / $952.47 / $1,379.87	Professional		$780.39	$952.47	$1,379.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,188.67 / $2,232.44 / $4,377.34	Facility		$2,188.67	$2,232.44	$4,377.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.81 / $1,048.81 / $3,198.87	Professional		$1,048.81	$1,048.81	$3,198.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,695.84 / $1,823.48 / $1,823.48	Facility		$1,695.84	$1,823.48	$1,823.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,823.48 / $1,823.48 / $1,823.48	Professional		$1,823.48	$1,823.48	$1,823.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,188.67 / $4,924.51	Facility		$319.00	$2,188.67	$4,924.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.77 / $1,575.84 / $3,939.61	Professional		$1,112.77	$1,575.84	$3,939.61
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 / $1,315.84 / $1,569.49	Professional		$1,060.50	$1,315.84	$1,569.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,473.53 / $2,188.67	Facility		$597.00	$1,473.53	$2,188.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,303.96 / $3,261.12	Professional		$1,075.68	$1,303.96	$3,261.12
United Facility/Professional Professional Modifier Low / Median / High Price $727.94 / $1,182.90 / $1,886.47	Professional		$727.94	$1,182.90	$1,886.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,315.84 / $1,315.84 / $1,367.41	Facility		$1,315.84	$1,315.84	$1,367.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,060.50 / $1,315.84 / $1,398.08	Professional		$1,060.50	$1,315.84	$1,398.08