Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.14 / $4,392.00 / $10,024.00	Facility		$860.14	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.13 / $703.78 / $1,310.11	Professional		$594.13	$703.78	$1,310.11
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 $528.07 / $690.30 / $1,527.76	Professional		$528.07	$690.30	$1,527.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $951.30 / $1,990.00 / $8,917.50	Facility		$951.30	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $951.30 / $951.30 / $951.30	Professional		$951.30	$951.30	$951.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $769.64 / $769.64	Facility		$769.64	$769.64	$769.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.36 / $1,014.43 / $2,527.87	Professional		$666.36	$1,014.43	$2,527.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,812.89	Facility		$300.00	$480.00	$1,812.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.95 / $1,052.81 / $1,555.06	Professional		$741.95	$1,052.81	$1,555.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.14 / $637.14 / $637.14	Facility		$637.14	$637.14	$637.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.37 / $812.31 / $1,432.94	Professional		$552.37	$812.31	$1,432.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $769.64	Facility		$555.00	$597.00	$769.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $688.49 / $1,011.25 / $2,344.46	Professional		$688.49	$1,011.25	$2,344.46
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 $596.84 / $867.04 / $2,036.48	Professional		$596.84	$867.04	$2,036.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $812.31 / $812.31 / $3,136.66	Facility		$812.31	$812.31	$3,136.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $559.03 / $887.92 / $1,717.10	Professional		$559.03	$887.92	$1,717.10