Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.78 / $3,797.00 / $10,296.00	Facility		$876.78	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.09 / $765.98 / $1,401.87	Professional		$660.09	$765.98	$1,401.87
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 $600.62 / $785.13 / $1,694.97	Professional		$600.62	$785.13	$1,694.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,037.13 / $1,037.13 / $37,499.62	Facility		$1,037.13	$1,037.13	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,037.13 / $1,037.13 / $1,037.13	Professional		$1,037.13	$1,037.13	$1,037.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.97 / $836.97 / $836.97	Facility		$836.97	$836.97	$836.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.62 / $1,101.68 / $2,769.42	Professional		$734.62	$1,101.68	$2,769.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $824.25 / $1,973.68	Facility		$332.00	$824.25	$1,973.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $1,145.66 / $1,692.98	Professional		$806.68	$1,145.66	$1,692.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.72 / $692.72 / $692.72	Facility		$692.72	$692.72	$692.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.41 / $882.80 / $1,557.28	Professional		$592.41	$882.80	$1,557.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $836.97	Facility		$555.00	$597.00	$836.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $759.19 / $1,091.23 / $2,560.38	Professional		$759.19	$1,091.23	$2,560.38
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 $666.40 / $942.09 / $2,149.08	Professional		$666.40	$942.09	$2,149.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $882.80 / $882.80 / $3,168.79	Facility		$882.80	$882.80	$3,168.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $598.42 / $965.37 / $1,866.09	Professional		$598.42	$965.37	$1,866.09