Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $4,910.00 / $10,170.00	Facility		$1,817.98	$4,910.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $647.36 / $1,357.35	Professional		$239.20	$647.36	$1,357.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.26 / $689.72 / $1,149.54	Professional		$586.26	$689.72	$1,149.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $629.46 / $629.46 / $6,213.00	Facility		$629.46	$629.46	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $629.46 / $629.46 / $629.46	Professional		$629.46	$629.46	$629.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.47 / $989.47 / $7,227.90	Facility		$989.47	$989.47	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $4,119.12 / $4,119.12	Professional		$1,133.27	$4,119.12	$4,119.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $850.00 / $2,074.86	Facility		$319.00	$850.00	$2,074.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $1,106.58 / $1,779.77	Professional		$420.00	$1,106.58	$1,779.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $922.16 / $922.16 / $922.16	Facility		$922.16	$922.16	$922.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.84 / $1,309.47 / $1,934.55	Professional		$783.84	$1,309.47	$1,934.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $989.47 / $7,227.90	Facility		$597.00	$989.47	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $4,119.12 / $4,119.12	Professional		$1,133.27	$4,119.12	$4,119.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $11,176.00	Facility		$1,694.00	$4,893.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.59 / $934.21 / $2,005.00	Professional		$556.59	$934.21	$2,005.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $874.32 / $1,152.70 / $1,152.70	Facility		$874.32	$1,152.70	$1,152.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $869.97 / $1,331.97 / $2,436.62	Professional		$869.97	$1,331.97	$2,436.62