Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.88 / $4,629.00 / $10,674.00	Facility		$1,010.88	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.59 / $839.31 / $1,404.02	Professional		$718.59	$839.31	$1,404.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,359.00 / $12,869.00	Facility		$4,079.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.87 / $894.14 / $1,958.94	Professional		$703.87	$894.14	$1,958.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,143.64 / $1,143.64 / $37,499.62	Facility		$1,143.64	$1,143.64	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,143.64 / $1,143.64 / $1,143.64	Professional		$1,143.64	$1,143.64	$1,143.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.92 / $1,250.98 / $2,939.81	Professional		$792.92	$1,250.98	$2,939.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,057.00 / $2,098.89	Facility		$332.00	$1,057.00	$2,098.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $865.44 / $1,220.58 / $1,800.38	Professional		$865.44	$1,220.58	$1,800.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.18 / $743.18 / $743.18	Facility		$743.18	$743.18	$743.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.50 / $947.68 / $1,676.88	Professional		$670.50	$947.68	$1,676.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $895.74	Facility		$555.00	$597.00	$895.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $812.17 / $1,169.40 / $2,841.75	Professional		$812.17	$1,169.40	$2,841.75
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 $684.56 / $976.95 / $2,382.21	Professional		$684.56	$976.95	$2,382.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $950.60 / $950.60 / $3,692.83	Facility		$950.60	$950.60	$3,692.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $670.50 / $988.62 / $2,009.41	Professional		$670.50	$988.62	$2,009.41