Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.18 / $4,629.00 / $10,674.00	Facility		$926.18	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.57 / $744.72 / $1,635.49	Professional		$615.57	$744.72	$1,635.49
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 $529.16 / $691.73 / $1,662.35	Professional		$529.16	$691.73	$1,662.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $942.92 / $2,390.00 / $10,957.50	Facility		$942.92	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $942.92 / $942.92 / $942.92	Professional		$942.92	$942.92	$942.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $763.31 / $763.31	Facility		$763.31	$763.31	$763.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.90 / $1,100.01 / $2,480.39	Professional		$675.90	$1,100.01	$2,480.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $790.00 / $1,789.16	Facility		$332.00	$790.00	$1,789.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $737.29 / $1,040.47 / $1,534.70	Professional		$737.29	$1,040.47	$1,534.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.14 / $633.14 / $633.14	Facility		$633.14	$633.14	$633.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.04 / $804.48 / $1,419.12	Professional		$547.04	$804.48	$1,419.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $763.31	Facility		$555.00	$597.00	$763.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $692.56 / $1,028.85 / $2,414.34	Professional		$692.56	$1,028.85	$2,414.34
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 $592.73 / $857.53 / $1,965.81	Professional		$592.73	$857.53	$1,965.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $804.48 / $804.48 / $4,135.14	Facility		$804.48	$804.48	$4,135.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $633.14 / $882.34 / $1,700.54	Professional		$633.14	$882.34	$1,700.54