Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.40 / $3,516.00 / $9,038.00	Facility		$878.40	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.40 / $718.42 / $1,444.11	Professional		$615.40	$718.42	$1,444.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.58 / $770.65 / $1,631.58	Professional		$620.58	$770.65	$1,631.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $978.24 / $978.24 / $6,213.00	Facility		$978.24	$978.24	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $978.24 / $978.24 / $978.24	Professional		$978.24	$978.24	$978.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.81 / $782.81 / $14,648.00	Facility		$782.81	$782.81	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.86 / $1,005.35 / $2,532.62	Professional		$683.86	$1,005.35	$2,532.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $741.66 / $1,815.41	Facility		$332.00	$741.66	$1,815.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $742.67 / $1,052.80 / $1,557.22	Professional		$742.67	$1,052.80	$1,557.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.76 / $637.76 / $637.76	Facility		$637.76	$637.76	$637.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.34 / $892.86 / $1,438.35	Professional		$576.34	$892.86	$1,438.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $782.81	Facility		$555.00	$597.00	$782.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $979.76 / $2,231.02	Professional		$638.79	$979.76	$2,231.02
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.58 / $845.61 / $2,077.26	Professional		$605.58	$845.61	$2,077.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,115.73 / $1,148.05 / $1,165.23	Facility		$1,115.73	$1,148.05	$1,165.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $637.76 / $956.76 / $1,604.67	Professional		$637.76	$956.76	$1,604.67