Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.61 / $5,202.00 / $11,996.00	Facility		$1,048.61	$5,202.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.23 / $833.68 / $1,553.90	Professional		$724.23	$833.68	$1,553.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.44 / $850.25 / $1,942.93	Professional		$650.44	$850.25	$1,942.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,127.85 / $2,644.00 / $12,319.50	Facility		$1,127.85	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,127.85 / $1,127.85 / $1,127.85	Professional		$1,127.85	$1,127.85	$1,127.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.62 / $910.62 / $910.62	Facility		$910.62	$910.62	$910.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.94 / $1,199.18 / $3,012.21	Professional		$795.94	$1,199.18	$3,012.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,055.00 / $2,146.66	Facility		$332.00	$1,055.00	$2,146.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $877.71 / $1,246.25 / $1,841.36	Professional		$877.71	$1,246.25	$1,841.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.72 / $753.72 / $753.72	Facility		$753.72	$753.72	$753.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.13 / $960.48 / $1,694.31	Professional		$653.13	$960.48	$1,694.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $910.62	Facility		$555.00	$597.00	$910.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $826.22 / $1,198.77 / $2,782.90	Professional		$826.22	$1,198.77	$2,782.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,136.00 / $15,063.00	Facility		$2,264.00	$6,136.00	$15,063.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.52 / $1,017.20 / $2,415.48	Professional		$723.52	$1,017.20	$2,415.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $960.48 / $960.48 / $3,579.47	Facility		$960.48	$960.48	$3,579.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $667.67 / $1,050.39 / $2,030.30	Professional		$667.67	$1,050.39	$2,030.30