Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.15 / $3,841.00 / $9,038.00	Facility		$995.15	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $829.98 / $1,672.15	Professional		$649.92	$829.98	$1,672.15
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 $604.04 / $765.91 / $1,749.14	Professional		$604.04	$765.91	$1,749.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,078.26 / $1,716.00 / $6,213.00	Facility		$1,078.26	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,078.26 / $1,078.26 / $1,078.26	Professional		$1,078.26	$1,078.26	$1,078.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.80 / $1,039.80 / $1,039.80	Facility		$1,039.80	$1,039.80	$1,039.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.34 / $1,082.28 / $2,979.52	Professional		$737.34	$1,082.28	$2,979.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $983.72 / $2,425.57	Facility		$332.00	$983.72	$2,425.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $992.27 / $1,358.32 / $2,080.60	Professional		$992.27	$1,358.32	$2,080.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $852.10	Facility		$852.10	$852.10	$852.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.03 / $938.08 / $1,946.81	Professional		$566.03	$938.08	$1,946.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,039.80	Facility		$555.00	$597.00	$1,039.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $796.44 / $1,133.91 / $2,808.58	Professional		$796.44	$1,133.91	$2,808.58
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 $723.18 / $1,043.11 / $2,412.94	Professional		$723.18	$1,043.11	$2,412.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,103.61 / $1,103.61 / $3,159.27	Facility		$1,103.61	$1,103.61	$3,159.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $581.27 / $1,187.49 / $2,318.67	Professional		$581.27	$1,187.49	$2,318.67