Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.04 / $1,544.24 / $2,858.46	Facility		$1,304.04	$1,544.24	$2,858.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.04 / $1,544.24 / $2,237.17	Professional		$1,304.04	$1,544.24	$2,237.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.52 / $3,619.49 / $7,097.04	Facility		$3,548.52	$3,619.49	$7,097.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,738.10 / $1,738.10 / $5,301.20	Professional		$1,738.10	$1,738.10	$5,301.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,182.58 / $2,808.64 / $2,956.42	Facility		$1,182.58	$2,808.64	$2,956.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,182.58 / $2,808.64 / $2,956.42	Professional		$1,182.58	$2,808.64	$2,956.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $1,808.29	Facility		$1,808.29	$1,808.29	$1,808.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $1,808.29	Professional		$1,537.05	$1,537.05	$1,808.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,548.52 / $7,984.17	Facility		$319.00	$3,548.52	$7,984.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.63 / $2,661.39 / $6,465.40	Professional		$2,093.63	$2,661.39	$6,465.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,133.39 / $2,266.73 / $2,956.42	Professional		$2,133.39	$2,266.73	$2,956.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,808.29 / $3,548.52	Facility		$597.00	$1,808.29	$3,548.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,808.29 / $5,500.21	Professional		$1,537.05	$1,808.29	$5,500.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.21 / $2,071.23 / $3,058.55	Professional		$1,180.21	$2,071.23	$3,058.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,896.82 / $2,133.39 / $2,133.39	Facility		$1,896.82	$2,133.39	$2,133.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,133.39 / $2,133.39 / $2,266.73	Professional		$2,133.39	$2,133.39	$2,266.73