Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.13 / $5,324.00 / $12,466.00	Facility		$962.13	$5,324.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.21 / $771.29 / $1,312.50	Professional		$665.21	$771.29	$1,312.50
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 $606.60 / $792.95 / $1,696.51	Professional		$606.60	$792.95	$1,696.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,044.07 / $3,478.50 / $13,477.50	Facility		$1,044.07	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,044.07 / $1,044.07 / $1,044.07	Professional		$1,044.07	$1,044.07	$1,044.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.78 / $1,104.26 / $2,734.44	Professional		$731.78	$1,104.26	$2,734.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,053.00 / $1,964.48	Facility		$332.00	$1,053.00	$1,964.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $809.67 / $1,142.25 / $1,685.08	Professional		$809.67	$1,142.25	$1,685.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.29 / $695.29 / $695.29	Facility		$695.29	$695.29	$695.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.02 / $885.32 / $1,561.72	Professional		$602.02	$885.32	$1,561.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $838.09	Facility		$555.00	$597.00	$838.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $755.91 / $1,104.26 / $2,570.92	Professional		$755.91	$1,104.26	$2,570.92
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 $662.99 / $921.19 / $2,273.76	Professional		$662.99	$921.19	$2,273.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $885.32 / $885.32 / $3,288.26	Facility		$885.32	$885.32	$3,288.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $611.61 / $968.96 / $1,871.42	Professional		$611.61	$968.96	$1,871.42