Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.09 / $3,841.00 / $9,038.00	Facility		$999.09	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.26 / $822.77 / $1,680.02	Professional		$712.26	$822.77	$1,680.02
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 $644.52 / $842.51 / $1,942.82	Professional		$644.52	$842.51	$1,942.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,122.60 / $1,716.00 / $6,213.00	Facility		$1,122.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,122.60 / $1,122.60 / $1,122.60	Professional		$1,122.60	$1,122.60	$1,122.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $878.62 / $878.62 / $878.62	Facility		$878.62	$878.62	$878.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.34 / $1,252.56 / $2,927.49	Professional		$775.34	$1,252.56	$2,927.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,167.00 / $2,013.62	Facility		$332.00	$1,167.00	$2,013.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $856.20 / $1,178.43 / $1,727.23	Professional		$856.20	$1,178.43	$1,727.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.25 / $735.25 / $735.25	Facility		$735.25	$735.25	$735.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.13 / $938.69 / $1,655.87	Professional		$663.13	$938.69	$1,655.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $878.62	Facility		$555.00	$597.00	$878.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $815.26 / $1,194.45 / $2,779.48	Professional		$815.26	$1,194.45	$2,779.48
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 $706.90 / $1,005.16 / $2,456.73	Professional		$706.90	$1,005.16	$2,456.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $938.69 / $938.69 / $3,551.97	Facility		$938.69	$938.69	$3,551.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $663.22 / $1,024.64 / $1,984.24	Professional		$663.22	$1,024.64	$1,984.24