Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.14 / $4,629.00 / $10,674.00	Facility		$1,062.14	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $870.55 / $1,623.21	Professional		$744.09	$870.55	$1,623.21
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 $680.61 / $889.69 / $2,026.18	Professional		$680.61	$889.69	$2,026.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,178.11 / $2,390.00 / $10,957.50	Facility		$1,178.11	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,178.11 / $1,178.11 / $1,178.11	Professional		$1,178.11	$1,178.11	$1,178.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.42 / $950.42 / $950.42	Facility		$950.42	$950.42	$950.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.19 / $1,251.46 / $3,145.77	Professional		$830.19	$1,251.46	$3,145.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $944.12 / $2,239.88	Facility		$332.00	$944.12	$2,239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $916.19 / $1,300.46 / $1,921.32	Professional		$916.19	$1,300.46	$1,921.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $786.77 / $786.77 / $786.77	Facility		$786.77	$786.77	$786.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.25 / $1,003.60 / $1,770.38	Professional		$679.25	$1,003.60	$1,770.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $950.42	Facility		$555.00	$597.00	$950.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $1,251.46 / $2,904.67	Professional		$852.00	$1,251.46	$2,904.67
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 $740.27 / $1,026.68 / $2,709.90	Professional		$740.27	$1,026.68	$2,709.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,003.60 / $1,003.60 / $3,788.24	Facility		$1,003.60	$1,003.60	$3,788.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $682.45 / $1,096.45 / $2,121.46	Professional		$682.45	$1,096.45	$2,121.46