Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.35 / $5,324.00 / $14,926.00	Facility		$910.35	$5,324.00	$14,926.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.87 / $783.67 / $1,484.01	Professional		$665.87	$783.67	$1,484.01
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 $650.44 / $807.73 / $1,673.69	Professional		$650.44	$807.73	$1,673.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,085.77 / $3,478.50 / $13,477.50	Facility		$1,085.77	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,085.77 / $1,085.77 / $1,085.77	Professional		$1,085.77	$1,085.77	$1,085.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.94 / $839.94 / $839.94	Facility		$839.94	$839.94	$839.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.03 / $1,067.74 / $2,793.94	Professional		$722.03	$1,067.74	$2,793.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $910.00 / $1,968.73	Facility		$332.00	$910.00	$1,968.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $810.89 / $1,145.30 / $1,688.73	Professional		$810.89	$1,145.30	$1,688.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.34 / $696.34 / $696.34	Facility		$696.34	$696.34	$696.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $887.95 / $1,574.93	Professional		$605.91	$887.95	$1,574.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $839.94	Facility		$555.00	$597.00	$839.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $771.23 / $1,082.58 / $2,670.36	Professional		$771.23	$1,082.58	$2,670.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.93 / $950.56 / $2,241.63	Professional		$668.93	$950.56	$2,241.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $892.81 / $892.81 / $3,197.75	Facility		$892.81	$892.81	$3,197.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $928.52 / $1,887.25	Professional		$605.91	$928.52	$1,887.25