Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.66 / $4,629.00 / $10,674.00	Facility		$996.66	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.93 / $793.32 / $1,443.54	Professional		$686.93	$793.32	$1,443.54
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 $577.28 / $754.62 / $1,870.05	Professional		$577.28	$754.62	$1,870.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,049.70 / $2,390.00 / $10,957.50	Facility		$1,049.70	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,049.70 / $1,049.70 / $1,049.70	Professional		$1,049.70	$1,049.70	$1,049.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.48 / $855.48 / $855.48	Facility		$855.48	$855.48	$855.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.57 / $1,180.68 / $2,802.61	Professional		$743.57	$1,180.68	$2,802.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,128.00 / $1,968.28	Facility		$332.00	$1,128.00	$1,968.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $824.87 / $1,148.00 / $1,688.34	Professional		$824.87	$1,148.00	$1,688.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.35 / $708.35 / $708.35	Facility		$708.35	$708.35	$708.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.70 / $771.16 / $1,600.40	Professional		$665.70	$771.16	$1,600.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $855.48	Facility		$555.00	$597.00	$855.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $769.79 / $1,127.84 / $2,646.12	Professional		$769.79	$1,127.84	$2,646.12
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 $663.25 / $948.42 / $2,302.53	Professional		$663.25	$948.42	$2,302.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $907.25 / $907.25 / $3,587.72	Facility		$907.25	$907.25	$3,587.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $665.70 / $987.15 / $1,917.77	Professional		$665.70	$987.15	$1,917.77