Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.65 / $3,516.00 / $9,038.00	Facility		$896.65	$3,516.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $752.33 / $1,401.69	Professional		$658.00	$752.33	$1,401.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.79 / $770.99 / $1,769.94	Professional		$589.79	$770.99	$1,769.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,017.94 / $1,254.00 / $4,050.00	Facility		$1,017.94	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,017.94 / $1,017.94 / $1,017.94	Professional		$1,017.94	$1,017.94	$1,017.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $822.09 / $822.09 / $822.09	Facility		$822.09	$822.09	$822.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.25 / $1,086.86 / $2,717.40	Professional		$723.25	$1,086.86	$2,717.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,038.00 / $1,937.12	Facility		$332.00	$1,038.00	$1,937.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $860.33 / $1,143.33 / $1,661.61	Professional		$860.33	$1,143.33	$1,661.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.56 / $680.56 / $680.56	Facility		$680.56	$680.56	$680.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.45 / $868.07 / $1,531.30	Professional		$544.45	$868.07	$1,531.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $822.09	Facility		$555.00	$597.00	$822.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $745.72 / $1,090.60 / $2,516.00	Professional		$745.72	$1,090.60	$2,516.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,315.00	Facility		$2,380.00	$4,893.00	$10,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.37 / $888.74 / $2,305.56	Professional		$640.37	$888.74	$2,305.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $868.07 / $868.07 / $3,297.80	Facility		$868.07	$868.07	$3,297.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $590.29 / $948.43 / $1,834.96	Professional		$590.29	$948.43	$1,834.96