Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.01 / $3,516.00 / $9,038.00	Facility		$957.01	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.39 / $781.66 / $1,544.00	Professional		$670.39	$781.66	$1,544.00
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 $676.61 / $840.24 / $1,778.45	Professional		$676.61	$840.24	$1,778.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,065.77 / $1,065.77 / $6,213.00	Facility		$1,065.77	$1,065.77	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,065.77 / $1,065.77 / $1,065.77	Professional		$1,065.77	$1,065.77	$1,065.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $852.80 / $14,648.00	Facility		$852.80	$852.80	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.47 / $1,095.23 / $2,753.07	Professional		$745.47	$1,095.23	$2,753.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $808.63 / $1,977.95	Facility		$332.00	$808.63	$1,977.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $809.04 / $1,147.03 / $1,696.64	Professional		$809.04	$1,147.03	$1,696.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.75 / $694.75 / $694.75	Facility		$694.75	$694.75	$694.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.88 / $972.65 / $1,566.82	Professional		$627.88	$972.65	$1,566.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $852.80	Facility		$555.00	$597.00	$852.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $694.98 / $1,068.19 / $2,431.23	Professional		$694.98	$1,068.19	$2,431.23
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 $639.48 / $919.22 / $2,233.65	Professional		$639.48	$919.22	$2,233.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,215.52 / $1,250.59 / $1,269.41	Facility		$1,215.52	$1,250.59	$1,269.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $694.75 / $1,042.27 / $1,748.00	Professional		$694.75	$1,042.27	$1,748.00