Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.51 / $5,157.00 / $11,396.00	Facility		$966.51	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.68 / $834.90 / $1,402.14	Professional		$692.68	$834.90	$1,402.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.10 / $768.76 / $1,914.09	Professional		$588.10	$768.76	$1,914.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $992.88 / $992.88 / $37,499.62	Facility		$992.88	$992.88	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $992.88 / $992.88 / $992.88	Professional		$992.88	$992.88	$992.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.77 / $813.77 / $813.77	Facility		$813.77	$813.77	$813.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.49 / $1,197.43 / $2,785.13	Professional		$734.49	$1,197.43	$2,785.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,181.25 / $1,955.20	Facility		$332.00	$1,181.25	$1,955.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $764.20 / $1,100.91 / $1,635.46	Professional		$764.20	$1,100.91	$1,635.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $656.25 / $656.25	Facility		$656.25	$656.25	$656.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.03 / $748.57 / $1,482.25	Professional		$636.03	$748.57	$1,482.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $813.77	Facility		$555.00	$597.00	$813.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $755.41 / $1,148.38 / $2,639.82	Professional		$755.41	$1,148.38	$2,639.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.98 / $948.66 / $2,337.46	Professional		$668.98	$948.66	$2,337.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $840.27 / $840.27 / $3,849.09	Facility		$840.27	$840.27	$3,849.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $705.59 / $914.56 / $1,776.19	Professional		$705.59	$914.56	$1,776.19