Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.98 / $4,039.00 / $10,170.00	Facility		$784.98	$4,039.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.62 / $787.67 / $1,288.89	Professional		$631.62	$787.67	$1,288.89
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 $587.12 / $744.45 / $1,719.43	Professional		$587.12	$744.45	$1,719.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $925.02 / $2,390.00 / $10,957.50	Facility		$925.02	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $925.02 / $925.02 / $1,108.83	Professional		$925.02	$925.02	$1,108.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.86 / $1,048.86 / $1,048.86	Facility		$1,048.86	$1,048.86	$1,048.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.27 / $1,024.52 / $2,523.65	Professional		$658.27	$1,024.52	$2,523.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $681.63 / $1,656.27	Facility		$332.00	$681.63	$1,656.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.83 / $1,162.30 / $1,706.12	Professional		$831.83	$1,162.30	$1,706.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.32 / $714.32 / $714.32	Facility		$714.32	$714.32	$714.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.77 / $917.30 / $1,618.13	Professional		$592.77	$917.30	$1,618.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,048.86	Facility		$555.00	$597.00	$1,048.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $666.45 / $1,070.33 / $2,582.88	Professional		$666.45	$1,070.33	$2,582.88
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 $625.37 / $931.69 / $2,231.90	Professional		$625.37	$931.69	$2,231.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $766.06 / $766.06 / $1,766.30	Facility		$766.06	$766.06	$1,766.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $623.76 / $995.48 / $1,628.58	Professional		$623.76	$995.48	$1,628.58