Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.99 / $2,952.00 / $8,134.00	Facility		$778.99	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.63 / $860.68 / $1,624.77	Professional		$602.63	$860.68	$1,624.77
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 $784.01 / $959.82 / $1,812.15	Professional		$784.01	$959.82	$1,812.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,131.52 / $1,716.00 / $6,213.00	Facility		$1,131.52	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,131.52 / $1,131.52 / $1,387.43	Professional		$1,131.52	$1,131.52	$1,387.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,243.82 / $1,243.82	Facility		$1,243.82	$1,243.82	$1,243.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.71 / $1,114.73 / $3,006.12	Professional		$707.71	$1,114.73	$3,006.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $440.00 / $1,999.96	Facility		$275.00	$440.00	$1,999.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.38 / $1,429.58 / $2,100.57	Professional		$1,088.38	$1,429.58	$2,100.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $872.47 / $872.47 / $872.47	Facility		$872.47	$872.47	$872.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.07 / $1,140.26 / $2,011.44	Professional		$652.07	$1,140.26	$2,011.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,243.82	Facility		$555.00	$597.00	$1,243.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $714.61 / $1,180.81 / $2,890.76	Professional		$714.61	$1,180.81	$2,890.76
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 $734.15 / $1,087.48 / $2,723.15	Professional		$734.15	$1,087.48	$2,723.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $932.56 / $932.56 / $1,617.48	Facility		$932.56	$932.56	$1,617.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $697.98 / $1,215.86 / $2,011.44	Professional		$697.98	$1,215.86	$2,011.44