Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.50 / $5,157.00 / $11,396.00	Facility		$950.50	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.62 / $765.76 / $1,434.33	Professional		$659.62	$765.76	$1,434.33
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 $625.66 / $809.85 / $1,712.58	Professional		$625.66	$809.85	$1,712.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,050.47 / $1,050.47 / $12,319.50	Facility		$1,050.47	$1,050.47	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,050.47 / $1,050.47 / $1,050.47	Professional		$1,050.47	$1,050.47	$1,050.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.55 / $826.55 / $826.55	Facility		$826.55	$826.55	$826.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.57 / $1,101.89 / $2,724.88	Professional		$714.57	$1,101.89	$2,724.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $940.00 / $1,937.12	Facility		$332.00	$940.00	$1,937.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.37 / $1,126.59 / $1,661.61	Professional		$798.37	$1,126.59	$1,661.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.59 / $685.59 / $685.59	Facility		$685.59	$685.59	$685.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.35 / $744.18 / $1,544.42	Professional		$595.35	$744.18	$1,544.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $826.55	Facility		$555.00	$597.00	$826.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $758.76 / $1,101.89 / $2,561.92	Professional		$758.76	$1,101.89	$2,561.92
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 $651.30 / $926.36 / $2,216.34	Professional		$651.30	$926.36	$2,216.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $875.51 / $875.51 / $3,246.27	Facility		$875.51	$875.51	$3,246.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $598.76 / $955.43 / $1,850.68	Professional		$598.76	$955.43	$1,850.68