Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.51 / $4,441.00 / $10,170.00	Facility		$1,075.51	$4,441.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.42 / $928.64 / $1,686.40	Professional		$785.42	$928.64	$1,686.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.87 / $948.86 / $2,189.32	Professional		$725.87	$948.86	$2,189.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,252.54 / $1,990.00 / $8,917.50	Facility		$1,252.54	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,252.54 / $1,252.54 / $1,252.54	Professional		$1,252.54	$1,252.54	$1,252.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.74 / $977.74 / $977.74	Facility		$977.74	$977.74	$977.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.15 / $1,331.74 / $3,348.91	Professional		$882.15	$1,331.74	$3,348.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $843.00 / $2,326.16	Facility		$332.00	$843.00	$2,326.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $932.36 / $1,344.33 / $1,995.33	Professional		$932.36	$1,344.33	$1,995.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.65 / $800.65 / $800.65	Facility		$800.65	$800.65	$800.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.19 / $1,022.46 / $1,803.65	Professional		$679.19	$1,022.46	$1,803.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $977.74	Facility		$555.00	$597.00	$977.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $901.29 / $1,331.28 / $3,093.60	Professional		$901.29	$1,331.28	$3,093.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.64 / $1,140.33 / $2,802.91	Professional		$789.64	$1,140.33	$2,802.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,022.46 / $1,022.46 / $4,067.79	Facility		$1,022.46	$1,022.46	$4,067.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $695.27 / $1,115.79 / $2,161.32	Professional		$695.27	$1,115.79	$2,161.32