Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.76 / $1,593.65 / $2,949.92	Facility		$1,345.76	$1,593.65	$2,949.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.76 / $1,593.65 / $2,308.77	Professional		$1,345.76	$1,593.65	$2,308.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,662.06 / $3,735.30 / $7,324.12	Facility		$3,662.06	$3,735.30	$7,324.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,067.19 / $2,067.19 / $5,726.14	Professional		$2,067.19	$2,067.19	$5,726.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,837.45 / $3,051.02 / $3,051.02	Facility		$2,837.45	$3,051.02	$3,051.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,051.02 / $3,051.02 / $3,051.02	Professional		$3,051.02	$3,051.02	$3,051.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $2,375.33	Facility		$2,375.33	$2,375.33	$2,375.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $2,375.33	Professional		$1,733.99	$1,733.99	$2,375.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,662.06 / $8,239.64	Facility		$319.00	$3,662.06	$8,239.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,092.35 / $2,746.55 / $6,672.27	Professional		$2,092.35	$2,746.55	$6,672.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,201.65 / $2,339.25 / $3,051.02	Professional		$2,201.65	$2,339.25	$3,051.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,375.33 / $3,662.06	Facility		$597.00	$2,375.33	$3,662.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $2,181.75 / $5,321.25	Professional		$1,733.99	$2,181.75	$5,321.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,511.59 / $4,511.59 / $4,511.59	Facility		$4,511.59	$4,511.59	$4,511.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.97 / $2,230.69 / $3,349.42	Professional		$1,217.97	$2,230.69	$3,349.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,201.65 / $2,201.65 / $2,287.92	Facility		$2,201.65	$2,201.65	$2,287.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,201.65 / $2,201.65 / $2,339.25	Professional		$2,201.65	$2,201.65	$2,339.25