Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.32 / $3,797.00 / $10,296.00	Facility		$888.32	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $771.24 / $1,544.14	Professional		$663.42	$771.24	$1,544.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.60 / $792.95 / $1,796.96	Professional		$606.60	$792.95	$1,796.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,042.19 / $1,042.19 / $37,499.62	Facility		$1,042.19	$1,042.19	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,042.19 / $1,042.19 / $1,042.19	Professional		$1,042.19	$1,042.19	$1,042.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $871.93 / $871.93	Facility		$871.93	$871.93	$871.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.16 / $1,114.11 / $2,788.17	Professional		$731.16	$1,114.11	$2,788.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $865.91 / $2,055.80	Facility		$332.00	$865.91	$2,055.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $840.29 / $1,193.52 / $1,763.42	Professional		$840.29	$1,193.52	$1,763.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.59 / $721.59 / $721.59	Facility		$721.59	$721.59	$721.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.54 / $889.56 / $1,569.21	Professional		$599.54	$889.56	$1,569.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $871.93	Facility		$555.00	$597.00	$871.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $1,108.85 / $2,576.07	Professional		$768.71	$1,108.85	$2,576.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.56 / $927.08 / $2,229.35	Professional		$656.56	$927.08	$2,229.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $889.56 / $889.56 / $3,190.49	Facility		$889.56	$889.56	$3,190.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $604.90 / $995.28 / $1,880.39	Professional		$604.90	$995.28	$1,880.39