Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.83 / $5,324.00 / $12,466.00	Facility		$1,109.83	$5,324.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.03 / $895.05 / $1,804.75	Professional		$789.03	$895.05	$1,804.75
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 $722.74 / $944.76 / $2,009.94	Professional		$722.74	$944.76	$2,009.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,208.60 / $3,478.50 / $13,477.50	Facility		$1,208.60	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,208.60 / $1,208.60 / $1,208.60	Professional		$1,208.60	$1,208.60	$1,208.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.80 / $953.80 / $953.80	Facility		$953.80	$953.80	$953.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.32 / $1,316.94 / $2,990.61	Professional		$826.32	$1,316.94	$2,990.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,178.00 / $2,174.90	Facility		$332.00	$1,178.00	$2,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $928.51 / $1,273.50 / $1,865.58	Professional		$928.51	$1,273.50	$1,865.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.34 / $797.34 / $797.34	Facility		$797.34	$797.34	$797.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.43 / $1,016.81 / $1,793.67	Professional		$691.43	$1,016.81	$1,793.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $953.80	Facility		$555.00	$597.00	$953.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $878.80 / $1,287.51 / $2,984.37	Professional		$878.80	$1,287.51	$2,984.37
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 $772.51 / $1,072.93 / $2,646.23	Professional		$772.51	$1,072.93	$2,646.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,016.81 / $1,016.81 / $4,040.91	Facility		$1,016.81	$1,016.81	$4,040.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $730.84 / $1,111.18 / $2,149.37	Professional		$730.84	$1,111.18	$2,149.37