Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $1,504.63 / $2,785.14	Facility		$1,270.58	$1,504.63	$2,785.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.58 / $1,504.63 / $2,179.80	Professional		$1,270.58	$1,504.63	$2,179.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,457.48 / $3,526.63 / $6,914.96	Facility		$3,457.48	$3,526.63	$6,914.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,790.67 / $1,790.67 / $5,328.96	Professional		$1,790.67	$1,790.67	$5,328.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,152.25 / $2,736.57 / $2,880.59	Facility		$1,152.25	$2,736.57	$2,880.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,152.25 / $2,736.57 / $2,880.59	Professional		$1,152.25	$2,736.57	$2,880.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $2,253.75	Facility		$2,253.75	$2,253.75	$2,253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $2,253.75	Professional		$1,915.69	$1,915.69	$2,253.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,457.48 / $7,779.33	Facility		$319.00	$3,457.48	$7,779.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,039.91 / $2,593.11 / $6,299.53	Professional		$2,039.91	$2,593.11	$6,299.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,078.67 / $2,208.59 / $2,880.59	Professional		$2,078.67	$2,208.59	$2,880.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,253.75 / $3,457.48	Facility		$597.00	$2,253.75	$3,457.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $2,136.90 / $5,151.64	Professional		$1,915.69	$2,136.90	$5,151.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.94 / $1,974.53 / $3,111.73	Professional		$1,149.94	$1,974.53	$3,111.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,848.17 / $2,078.67 / $2,078.67	Facility		$1,848.17	$2,078.67	$2,078.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,078.67 / $2,078.67 / $2,208.59	Professional		$2,078.67	$2,078.67	$2,208.59