Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.03 / $4,392.00 / $10,024.00	Facility		$917.03	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.18 / $750.87 / $1,452.59	Professional		$656.18	$750.87	$1,452.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.25 / $738.90 / $1,728.21	Professional		$565.25	$738.90	$1,728.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,016.07 / $1,990.00 / $8,917.50	Facility		$1,016.07	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,016.07 / $1,016.07 / $1,016.07	Professional		$1,016.07	$1,016.07	$1,016.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.38 / $1,083.76 / $2,713.08	Professional		$720.38	$1,083.76	$2,713.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $1,933.92	Facility		$332.00	$1,035.00	$1,933.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $791.02 / $1,122.83 / $1,658.87	Professional		$791.02	$1,122.83	$1,658.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.28 / $679.28 / $679.28	Facility		$679.28	$679.28	$679.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.96 / $866.12 / $1,527.86	Professional		$588.96	$866.12	$1,527.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $820.59	Facility		$555.00	$597.00	$820.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $744.43 / $1,083.76 / $2,509.42	Professional		$744.43	$1,083.76	$2,509.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $6,344.00 / $14,401.00	Facility		$2,705.00	$6,344.00	$14,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.70 / $927.58 / $2,261.82	Professional		$666.70	$927.58	$2,261.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $866.12 / $866.12 / $3,339.41	Facility		$866.12	$866.12	$3,339.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $609.83 / $946.65 / $1,830.85	Professional		$609.83	$946.65	$1,830.85