Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.98 / $4,260.00 / $10,170.00	Facility		$858.98	$4,260.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.75 / $729.60 / $1,264.32	Professional		$565.75	$729.60	$1,264.32
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 $579.27 / $728.73 / $1,662.74	Professional		$579.27	$728.73	$1,662.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $988.47 / $1,990.00 / $8,917.50	Facility		$988.47	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $988.47 / $988.47 / $988.47	Professional		$988.47	$988.47	$988.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.21 / $791.21 / $791.21	Facility		$791.21	$791.21	$791.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.04 / $1,007.27 / $2,425.32	Professional		$587.04	$1,007.27	$2,425.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $610.00 / $1,848.94	Facility		$330.00	$610.00	$1,848.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $750.76 / $1,075.96 / $1,742.11	Professional		$750.76	$1,075.96	$1,742.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.23 / $657.23 / $657.23	Facility		$657.23	$657.23	$657.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.74 / $836.90 / $1,476.32	Professional		$361.74	$836.90	$1,476.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $791.21	Facility		$555.00	$597.00	$791.21
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $613.12 / $1,016.43 / $2,391.03	Professional		$613.12	$1,016.43	$2,391.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,807.00 / $4,445.00 / $8,634.07	Facility		$1,807.00	$4,445.00	$8,634.07
United Facility/Professional Professional Modifier Low / Median / High Price $603.84 / $871.23 / $2,203.23	Professional		$603.84	$871.23	$2,203.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $836.90 / $836.90 / $1,946.97	Facility		$836.90	$836.90	$1,946.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $915.92 / $1,769.08	Professional		$569.09	$915.92	$1,769.08