Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.58 / $3,996.00 / $9,868.00	Facility		$929.58	$3,996.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.10 / $787.82 / $1,688.29	Professional		$665.10	$787.82	$1,688.29
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 $616.55 / $805.97 / $1,875.88	Professional		$616.55	$805.97	$1,875.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,058.30 / $1,058.30 / $8,917.50	Facility		$1,058.30	$1,058.30	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,058.30 / $1,058.30 / $1,058.30	Professional		$1,058.30	$1,058.30	$1,058.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Facility		$849.99	$849.99	$849.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.36 / $1,115.71 / $2,771.63	Professional		$729.36	$1,115.71	$2,771.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $992.00 / $1,992.80	Facility		$332.00	$992.00	$1,992.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $888.32 / $1,184.48 / $1,709.38	Professional		$888.32	$1,184.48	$1,709.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.05 / $705.05 / $705.05	Facility		$705.05	$705.05	$705.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.04 / $897.56 / $1,583.32	Professional		$564.04	$897.56	$1,583.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $849.99	Facility		$555.00	$597.00	$849.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $764.69 / $1,116.18 / $2,684.02	Professional		$764.69	$1,116.18	$2,684.02
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 $672.20 / $968.77 / $2,432.16	Professional		$672.20	$968.77	$2,432.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $897.56 / $897.56 / $3,319.48	Facility		$897.56	$897.56	$3,319.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $564.04 / $982.56 / $1,897.31	Professional		$564.04	$982.56	$1,897.31