Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.47 / $4,392.00 / $10,024.00	Facility		$1,082.47	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.72 / $906.21 / $1,631.20	Professional		$784.72	$906.21	$1,631.20
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 $709.03 / $926.84 / $2,048.01	Professional		$709.03	$926.84	$2,048.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,237.08 / $1,990.00 / $8,917.50	Facility		$1,237.08	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,237.08 / $1,237.08 / $1,237.08	Professional		$1,237.08	$1,237.08	$1,237.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $968.65 / $968.65	Facility		$968.65	$968.65	$968.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.15 / $1,344.29 / $3,101.50	Professional		$839.15	$1,344.29	$3,101.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,273.00 / $2,221.29	Facility		$332.00	$1,273.00	$2,221.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $943.53 / $1,299.89 / $1,905.37	Professional		$943.53	$1,299.89	$1,905.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.25 / $810.25 / $810.25	Facility		$810.25	$810.25	$810.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.86 / $1,035.08 / $1,825.91	Professional		$703.86	$1,035.08	$1,825.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $968.65	Facility		$555.00	$597.00	$968.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $886.87 / $1,313.46 / $3,067.09	Professional		$886.87	$1,313.46	$3,067.09
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 $746.29 / $1,037.86 / $2,495.46	Professional		$746.29	$1,037.86	$2,495.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,035.08 / $1,035.08 / $3,807.49	Facility		$1,035.08	$1,035.08	$3,807.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $718.94 / $1,129.17 / $2,188.00	Professional		$718.94	$1,129.17	$2,188.00