Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.67 / $3,841.00 / $9,038.00	Facility		$954.67	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.61 / $781.32 / $1,458.01	Professional		$686.61	$781.32	$1,458.01
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 $588.49 / $769.27 / $1,803.97	Professional		$588.49	$769.27	$1,803.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,057.93 / $1,716.00 / $6,213.00	Facility		$1,057.93	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,057.93 / $1,057.93 / $1,057.93	Professional		$1,057.93	$1,057.93	$1,057.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $854.45	Facility		$854.45	$854.45	$854.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.20 / $1,138.05 / $2,825.50	Professional		$750.20	$1,138.05	$2,825.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $840.00 / $2,014.88	Facility		$332.00	$840.00	$2,014.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $823.49 / $1,169.63 / $1,728.32	Professional		$823.49	$1,169.63	$1,728.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.16 / $707.16 / $707.16	Facility		$707.16	$707.16	$707.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.66 / $900.97 / $1,589.34	Professional		$612.66	$900.97	$1,589.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $854.45	Facility		$555.00	$597.00	$854.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $775.85 / $1,138.76 / $2,611.94	Professional		$775.85	$1,138.76	$2,611.94
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 $651.82 / $939.63 / $2,251.73	Professional		$651.82	$939.63	$2,251.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $900.97 / $900.97 / $3,536.20	Facility		$900.97	$900.97	$3,536.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $646.42 / $985.49 / $1,904.51	Professional		$646.42	$985.49	$1,904.51