Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.33 / $4,905.00 / $10,965.00	Facility		$982.33	$4,905.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.47 / $835.71 / $1,634.59	Professional		$738.47	$835.71	$1,634.59
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 $606.88 / $793.32 / $1,888.84	Professional		$606.88	$793.32	$1,888.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,073.86 / $2,644.00 / $12,319.50	Facility		$1,073.86	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,073.86 / $1,073.86 / $1,073.86	Professional		$1,073.86	$1,073.86	$1,073.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.33 / $853.33 / $853.33	Facility		$853.33	$853.33	$853.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.56 / $1,244.41 / $2,815.95	Professional		$749.56	$1,244.41	$2,815.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $851.40 / $1,984.12	Facility		$332.00	$851.40	$1,984.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $826.22 / $1,157.07 / $1,701.93	Professional		$826.22	$1,157.07	$1,701.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $709.50 / $709.50 / $709.50	Facility		$709.50	$709.50	$709.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.15 / $904.74 / $1,603.72	Professional		$688.15	$904.74	$1,603.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $853.33	Facility		$555.00	$597.00	$853.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $1,143.73 / $2,725.41	Professional		$768.71	$1,143.73	$2,725.41
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 $656.26 / $947.20 / $2,164.66	Professional		$656.26	$947.20	$2,164.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $909.13 / $909.13 / $3,430.77	Facility		$909.13	$909.13	$3,430.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $715.83 / $945.49 / $1,921.75	Professional		$715.83	$945.49	$1,921.75