Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $4,392.00 / $10,024.00	Facility		$1,003.00	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.96 / $785.14 / $1,411.20	Professional		$693.96	$785.14	$1,411.20
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 $595.04 / $777.84 / $1,839.37	Professional		$595.04	$777.84	$1,839.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,065.33 / $1,990.00 / $8,917.50	Facility		$1,065.33	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,065.33 / $1,065.33 / $1,065.33	Professional		$1,065.33	$1,065.33	$1,065.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.51 / $861.51 / $861.51	Facility		$861.51	$861.51	$861.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.67 / $1,205.32 / $2,822.21	Professional		$765.67	$1,205.32	$2,822.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $945.00 / $2,030.58	Facility		$332.00	$945.00	$2,030.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $830.37 / $1,178.98 / $1,741.79	Professional		$830.37	$1,178.98	$1,741.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.07 / $713.07 / $713.07	Facility		$713.07	$713.07	$713.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.25 / $772.81 / $1,603.83	Professional		$618.25	$772.81	$1,603.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $861.51	Facility		$555.00	$597.00	$861.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $779.17 / $1,182.36 / $2,670.17	Professional		$779.17	$1,182.36	$2,670.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.95 / $999.13 / $2,379.98	Professional		$666.95	$999.13	$2,379.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $909.19 / $909.19 / $4,477.54	Facility		$909.19	$909.19	$4,477.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $713.07 / $993.74 / $1,921.88	Professional		$713.07	$993.74	$1,921.88