Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.00 / $4,260.00 / $9,868.00	Facility		$965.00	$4,260.00	$9,868.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.20 / $815.11 / $1,521.81	Professional		$711.20	$815.11	$1,521.81
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 $615.00 / $803.93 / $1,879.71	Professional		$615.00	$803.93	$1,879.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,104.47 / $1,990.00 / $8,917.50	Facility		$1,104.47	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,104.47 / $1,104.47 / $1,104.47	Professional		$1,104.47	$1,104.47	$1,104.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.16 / $890.16 / $890.16	Facility		$890.16	$890.16	$890.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.87 / $1,175.71 / $2,948.06	Professional		$782.87	$1,175.71	$2,948.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,224.00 / $2,098.64	Facility		$332.00	$1,224.00	$2,098.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $858.05 / $1,218.25 / $1,800.17	Professional		$858.05	$1,218.25	$1,800.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.84 / $736.84 / $736.84	Facility		$736.84	$736.84	$736.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.63 / $939.16 / $1,656.69	Professional		$638.63	$939.16	$1,656.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $890.16	Facility		$555.00	$597.00	$890.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $808.41 / $1,175.71 / $2,733.39	Professional		$808.41	$1,175.71	$2,733.39
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 $697.97 / $982.55 / $2,404.89	Professional		$697.97	$982.55	$2,404.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $939.16 / $939.16 / $3,473.08	Facility		$939.16	$939.16	$3,473.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $647.46 / $1,026.85 / $1,985.22	Professional		$647.46	$1,026.85	$1,985.22