Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.60 / $1,425.31 / $2,638.33	Facility		$1,203.60	$1,425.31	$2,638.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.60 / $1,425.31 / $2,064.90	Professional		$1,203.60	$1,425.31	$2,064.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.24 / $3,340.74 / $6,550.48	Facility		$3,275.24	$3,340.74	$6,550.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,624.28 / $1,624.28 / $4,954.05	Professional		$1,624.28	$1,624.28	$4,954.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,091.51 / $2,592.32 / $2,728.75	Facility		$1,091.51	$2,592.32	$2,728.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,091.51 / $2,592.32 / $2,728.75	Professional		$1,091.51	$2,592.32	$2,728.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $2,373.71	Facility		$2,373.71	$2,373.71	$2,373.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $2,373.71	Professional		$2,017.65	$2,017.65	$2,373.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,275.24 / $7,369.29	Facility		$319.00	$3,275.24	$7,369.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.39 / $2,456.42 / $5,967.49	Professional		$1,932.39	$2,456.42	$5,967.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,969.10 / $2,092.17 / $2,728.75	Professional		$1,969.10	$2,092.17	$2,728.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,373.71 / $3,275.24	Facility		$597.00	$2,373.71	$3,275.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,024.26 / $4,336.88	Professional		$2,017.65	$2,024.26	$4,336.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.32 / $1,860.17 / $2,823.01	Professional		$1,089.32	$1,860.17	$2,823.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,750.74 / $1,969.10 / $1,969.10	Facility		$1,750.74	$1,969.10	$1,969.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,969.10 / $1,969.10 / $2,092.17	Professional		$1,969.10	$1,969.10	$2,092.17