Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $4,392.00 / $10,024.00	Facility		$1,003.00	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.54 / $820.72 / $1,534.03	Professional		$721.54	$820.72	$1,534.03
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 $619.37 / $809.64 / $1,832.64	Professional		$619.37	$809.64	$1,832.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,112.38 / $1,990.00 / $8,917.50	Facility		$1,112.38	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,112.38 / $1,112.38 / $1,112.38	Professional		$1,112.38	$1,112.38	$1,112.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.06 / $1,190.68 / $2,968.77	Professional		$788.06	$1,190.68	$2,968.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,195.00 / $2,111.36	Facility		$332.00	$1,195.00	$2,111.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.50 / $1,225.71 / $1,811.07	Professional		$863.50	$1,225.71	$1,811.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.52 / $741.52 / $741.52	Facility		$741.52	$741.52	$741.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.66 / $803.33 / $1,667.16	Professional		$642.66	$803.33	$1,667.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $895.74	Facility		$555.00	$597.00	$895.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $813.55 / $1,190.68 / $2,750.76	Professional		$813.55	$1,190.68	$2,750.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.33 / $1,004.96 / $2,552.25	Professional		$699.33	$1,004.96	$2,552.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $945.09 / $945.09 / $3,691.44	Facility		$945.09	$945.09	$3,691.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $671.19 / $982.89 / $1,997.77	Professional		$671.19	$982.89	$1,997.77