Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.71 / $5,157.00 / $11,396.00	Facility		$992.71	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.21 / $798.91 / $1,497.38	Professional		$696.21	$798.91	$1,497.38
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 $652.42 / $852.85 / $1,797.46	Professional		$652.42	$852.85	$1,797.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.51 / $1,096.51 / $12,319.50	Facility		$1,096.51	$1,096.51	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,096.51 / $1,096.51 / $1,096.51	Professional		$1,096.51	$1,096.51	$1,096.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.37 / $863.37 / $863.37	Facility		$863.37	$863.37	$863.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.38 / $1,163.40 / $2,842.37	Professional		$745.38	$1,163.40	$2,842.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,019.00 / $2,024.48	Facility		$332.00	$1,019.00	$2,024.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $833.82 / $1,177.20 / $1,736.56	Professional		$833.82	$1,177.20	$1,736.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.03 / $716.03 / $716.03	Facility		$716.03	$716.03	$716.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.29 / $913.66 / $1,611.72	Professional		$621.29	$913.66	$1,611.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $863.37	Facility		$555.00	$597.00	$863.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $788.39 / $1,158.45 / $2,670.70	Professional		$788.39	$1,158.45	$2,670.70
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 $696.29 / $976.67 / $2,517.77	Professional		$696.29	$976.67	$2,517.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $913.66 / $913.66 / $3,477.00	Facility		$913.66	$913.66	$3,477.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $637.10 / $997.85 / $1,931.33	Professional		$637.10	$997.85	$1,931.33