Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.03 / $5,324.00 / $12,466.00	Facility		$1,098.03	$5,324.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.10 / $915.99 / $1,541.07	Professional		$798.10	$915.99	$1,541.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.91 / $968.15 / $2,085.01	Professional		$752.91	$968.15	$2,085.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,238.66 / $3,478.50 / $13,477.50	Facility		$1,238.66	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,238.66 / $1,238.66 / $1,238.66	Professional		$1,238.66	$1,238.66	$1,238.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.02 / $943.02 / $943.02	Facility		$943.02	$943.02	$943.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.44 / $1,334.21 / $3,083.03	Professional		$816.44	$1,334.21	$3,083.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,117.00 / $2,161.17	Facility		$332.00	$1,117.00	$2,161.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $918.20 / $1,264.82 / $1,853.80	Professional		$918.20	$1,264.82	$1,853.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.49 / $788.49 / $788.49	Facility		$788.49	$788.49	$788.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.50 / $1,005.47 / $1,784.57	Professional		$719.50	$1,005.47	$1,784.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $943.02	Facility		$555.00	$597.00	$943.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $871.57 / $1,316.76 / $3,077.20	Professional		$871.57	$1,316.76	$3,077.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.72 / $1,092.00 / $2,706.91	Professional		$780.72	$1,092.00	$2,706.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,011.65 / $1,011.65 / $4,103.84	Facility		$1,011.65	$1,011.65	$4,103.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $788.49 / $1,052.11 / $2,138.46	Professional		$788.49	$1,052.11	$2,138.46