Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.65 / $4,452.00 / $10,686.00	Facility		$1,050.65	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.43 / $898.27 / $1,677.66	Professional		$788.43	$898.27	$1,677.66
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 $707.65 / $925.04 / $2,106.57	Professional		$707.65	$925.04	$2,106.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,217.43 / $1,990.00 / $8,917.50	Facility		$1,217.43	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,217.43 / $1,217.43 / $1,217.43	Professional		$1,217.43	$1,217.43	$1,217.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.70 / $978.70 / $978.70	Facility		$978.70	$978.70	$978.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.98 / $1,322.45 / $3,251.68	Professional		$860.98	$1,322.45	$3,251.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $930.67 / $2,306.14	Facility		$332.00	$930.67	$2,306.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $943.66 / $1,338.84 / $1,978.15	Professional		$943.66	$1,338.84	$1,978.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.36 / $810.36 / $810.36	Facility		$810.36	$810.36	$810.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.96 / $1,033.84 / $1,823.74	Professional		$693.96	$1,033.84	$1,823.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $890.03 / $1,319.63 / $3,016.03	Professional		$890.03	$1,319.63	$3,016.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,903.00	Facility		$2,341.00	$6,700.00	$16,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,101.40 / $2,652.69	Professional		$766.45	$1,101.40	$2,652.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,033.84 / $1,033.84 / $3,882.53	Facility		$1,033.84	$1,033.84	$3,882.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $703.02 / $1,129.31 / $2,185.39	Professional		$703.02	$1,129.31	$2,185.39