Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.53 / $5,324.00 / $13,229.00	Facility		$1,025.53	$5,324.00	$13,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.88 / $880.80 / $1,626.05	Professional		$766.88	$880.80	$1,626.05
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 $686.30 / $897.13 / $2,008.00	Professional		$686.30	$897.13	$2,008.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,190.76 / $3,478.50 / $13,477.50	Facility		$1,190.76	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,190.76 / $1,190.76 / $1,190.76	Professional		$1,190.76	$1,190.76	$1,190.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $950.80	Facility		$950.80	$950.80	$950.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.88 / $1,278.25 / $3,120.26	Professional		$838.88	$1,278.25	$3,120.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,068.00 / $2,227.50	Facility		$332.00	$1,068.00	$2,227.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $918.78 / $1,295.34 / $1,910.70	Professional		$918.78	$1,295.34	$1,910.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $788.99 / $788.99 / $788.99	Facility		$788.99	$788.99	$788.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.77 / $1,007.16 / $1,776.65	Professional		$673.77	$1,007.16	$1,776.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $950.80	Facility		$555.00	$597.00	$950.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $865.39 / $1,274.63 / $2,994.00	Professional		$865.39	$1,274.63	$2,994.00
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 $759.14 / $1,078.58 / $2,703.68	Professional		$759.14	$1,078.58	$2,703.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,007.16 / $1,007.16 / $3,651.96	Facility		$1,007.16	$1,007.16	$3,651.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $684.87 / $1,099.54 / $2,128.96	Professional		$684.87	$1,099.54	$2,128.96