Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.74 / $4,392.00 / $10,024.00	Facility		$1,090.74	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.18 / $897.96 / $1,870.98	Professional		$776.18	$897.96	$1,870.98
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 $679.23 / $887.89 / $2,078.96	Professional		$679.23	$887.89	$2,078.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,216.63 / $1,990.00 / $8,917.50	Facility		$1,216.63	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,216.63 / $1,216.63 / $1,216.63	Professional		$1,216.63	$1,216.63	$1,216.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.70 / $977.70 / $977.70	Facility		$977.70	$977.70	$977.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.15 / $1,302.58 / $3,250.71	Professional		$862.15	$1,302.58	$3,250.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $929.51 / $2,303.35	Facility		$332.00	$929.51	$2,303.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $942.64 / $1,337.22 / $1,975.76	Professional		$942.64	$1,337.22	$1,975.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.48 / $809.48 / $809.48	Facility		$809.48	$809.48	$809.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.67 / $878.33 / $1,822.83	Professional		$702.67	$878.33	$1,822.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $977.70	Facility		$555.00	$597.00	$977.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $890.02 / $1,302.58 / $3,013.28	Professional		$890.02	$1,302.58	$3,013.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.16 / $1,106.68 / $2,651.31	Professional		$766.16	$1,106.68	$2,651.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,033.33 / $1,033.33 / $4,011.33	Facility		$1,033.33	$1,033.33	$4,011.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $739.32 / $1,128.08 / $2,184.30	Professional		$739.32	$1,128.08	$2,184.30