Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.96 / $2,920.00 / $8,885.51	Facility		$901.96	$2,920.00	$8,885.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.23 / $836.94 / $1,628.71	Professional		$681.23	$836.94	$1,628.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.44 / $862.32 / $1,955.96	Professional		$661.44	$862.32	$1,955.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $945.38 / $1,716.00 / $6,213.00	Facility		$945.38	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $945.38 / $945.38 / $1,134.93	Professional		$945.38	$945.38	$1,134.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.27 / $1,134.27 / $1,134.27	Facility		$1,134.27	$1,134.27	$1,134.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.79 / $1,224.76 / $2,805.17	Professional		$722.79	$1,224.76	$2,805.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $705.00 / $1,727.98	Facility		$332.00	$705.00	$1,727.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $878.44 / $1,214.92 / $1,781.89	Professional		$878.44	$1,214.92	$1,781.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.35 / $754.35 / $754.35	Facility		$754.35	$754.35	$754.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.18 / $829.94 / $1,681.49	Professional		$707.18	$829.94	$1,681.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,134.27	Facility		$555.00	$597.00	$1,134.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $696.94 / $1,228.65 / $2,786.08	Professional		$696.94	$1,228.65	$2,786.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.12 / $1,025.45 / $2,464.44	Professional		$713.12	$1,025.45	$2,464.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $796.85 / $796.85 / $2,594.51	Facility		$796.85	$796.85	$2,594.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $795.02 / $1,051.27 / $1,694.03	Professional		$795.02	$1,051.27	$1,694.03