Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.25 / $5,202.00 / $11,996.00	Facility		$934.25	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.07 / $742.37 / $1,384.55	Professional		$645.07	$742.37	$1,384.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.54 / $760.20 / $1,731.06	Professional		$581.54	$760.20	$1,731.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,004.85 / $2,644.00 / $12,319.50	Facility		$1,004.85	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,004.85 / $1,004.85 / $1,004.85	Professional		$1,004.85	$1,004.85	$1,004.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.30 / $811.30 / $811.30	Facility		$811.30	$811.30	$811.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.83 / $1,068.56 / $2,683.73	Professional		$711.83	$1,068.56	$2,683.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,192.00 / $2,096.76	Facility		$332.00	$1,192.00	$2,096.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $782.04 / $1,110.13 / $1,640.08	Professional		$782.04	$1,110.13	$1,640.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.57 / $671.57 / $671.57	Facility		$671.57	$671.57	$671.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.42 / $728.03 / $1,510.90	Professional		$582.42	$728.03	$1,510.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $811.30	Facility		$555.00	$597.00	$811.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $736.25 / $1,083.36 / $2,480.07	Professional		$736.25	$1,083.36	$2,480.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,315.00	Facility		$2,380.00	$4,893.00	$10,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.99 / $916.82 / $2,235.59	Professional		$637.99	$916.82	$2,235.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $856.51 / $856.51 / $3,248.15	Facility		$856.51	$856.51	$3,248.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $595.51 / $890.77 / $1,810.52	Professional		$595.51	$890.77	$1,810.52