Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.64 / $4,392.00 / $10,024.00	Facility		$884.64	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.86 / $722.49 / $1,402.72	Professional		$630.86	$722.49	$1,402.72
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 $542.29 / $708.88 / $1,680.89	Professional		$542.29	$708.88	$1,680.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $976.98 / $1,990.00 / $8,917.50	Facility		$976.98	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $976.98 / $976.98 / $976.98	Professional		$976.98	$976.98	$976.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.96 / $791.96 / $791.96	Facility		$791.96	$791.96	$791.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.89 / $1,042.16 / $2,603.64	Professional		$687.89	$1,042.16	$2,603.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $895.00 / $1,867.52	Facility		$332.00	$895.00	$1,867.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $763.09 / $1,084.24 / $1,601.92	Professional		$763.09	$1,084.24	$1,601.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.41 / $834.44 / $1,471.96	Professional		$567.41	$834.44	$1,471.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $791.96	Facility		$555.00	$597.00	$791.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $711.33 / $1,040.92 / $2,400.44	Professional		$711.33	$1,040.92	$2,400.44
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 $608.94 / $869.60 / $2,144.26	Professional		$608.94	$869.60	$2,144.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $834.44 / $834.44 / $3,244.84	Facility		$834.44	$834.44	$3,244.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $585.44 / $913.21 / $1,763.86	Professional		$585.44	$913.21	$1,763.86