Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.68 / $4,392.00 / $10,024.00	Facility		$1,009.68	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.91 / $810.10 / $1,552.99	Professional		$706.91	$810.10	$1,552.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $792.85 / $1,897.00	Professional		$606.53	$792.85	$1,897.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,089.67 / $1,990.00 / $8,917.50	Facility		$1,089.67	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,089.67 / $1,089.67 / $1,089.67	Professional		$1,089.67	$1,089.67	$1,089.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $877.51	Facility		$877.51	$877.51	$877.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.09 / $1,237.58 / $2,910.50	Professional		$781.09	$1,237.58	$2,910.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $834.65 / $2,067.59	Facility		$332.00	$834.65	$2,067.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $846.05 / $1,200.45 / $1,773.53	Professional		$846.05	$1,200.45	$1,773.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.53 / $726.53 / $726.53	Facility		$726.53	$726.53	$726.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.42 / $788.04 / $1,635.44	Professional		$630.42	$788.04	$1,635.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $877.51	Facility		$555.00	$597.00	$877.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $799.32 / $1,203.27 / $2,752.33	Professional		$799.32	$1,203.27	$2,752.33
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 $685.13 / $1,020.14 / $2,428.12	Professional		$685.13	$1,020.14	$2,428.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $927.11 / $927.11 / $4,564.58	Facility		$927.11	$927.11	$4,564.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $726.53 / $964.19 / $1,959.76	Professional		$726.53	$964.19	$1,959.76