Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.76 / $5,118.03 / $12,051.00	Facility		$818.76	$5,118.03	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.35 / $813.43 / $1,332.32	Professional		$624.35	$813.43	$1,332.32
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 $624.82 / $792.25 / $1,787.55	Professional		$624.82	$792.25	$1,787.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $887.64 / $3,478.50 / $13,477.50	Facility		$887.64	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $887.64 / $887.64 / $1,118.25	Professional		$887.64	$887.64	$1,118.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,084.85 / $1,084.85	Facility		$1,084.85	$1,084.85	$1,084.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.70 / $1,067.66 / $2,593.67	Professional		$660.70	$1,067.66	$2,593.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $685.46 / $1,677.80	Facility		$332.00	$685.46	$1,677.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $874.34 / $1,223.59 / $1,799.51	Professional		$874.34	$1,223.59	$1,799.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.83 / $750.83 / $750.83	Facility		$750.83	$750.83	$750.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.87 / $957.44 / $1,707.64	Professional		$668.87	$957.44	$1,707.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,084.85	Facility		$555.00	$597.00	$1,084.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $709.77 / $1,099.13 / $2,593.67	Professional		$709.77	$1,099.13	$2,593.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $932.75 / $2,463.19	Professional		$675.75	$932.75	$2,463.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $773.36 / $773.36 / $2,863.90	Facility		$773.36	$773.36	$2,863.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $668.87 / $1,006.76 / $1,707.64	Professional		$668.87	$1,006.76	$1,707.64