Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.25 / $4,392.00 / $10,024.00	Facility		$1,005.25	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.62 / $806.03 / $1,492.94	Professional		$703.62	$806.03	$1,492.94
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 $627.95 / $820.85 / $1,924.58	Professional		$627.95	$820.85	$1,924.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,083.33 / $1,990.00 / $8,917.50	Facility		$1,083.33	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,083.33 / $1,083.33 / $1,083.33	Professional		$1,083.33	$1,083.33	$1,083.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.43 / $873.43 / $873.43	Facility		$873.43	$873.43	$873.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.43 / $1,223.13 / $2,893.00	Professional		$777.43	$1,223.13	$2,893.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,030.00 / $2,057.92	Facility		$332.00	$1,030.00	$2,057.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $842.06 / $1,194.86 / $1,765.24	Professional		$842.06	$1,194.86	$1,765.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.11 / $723.11 / $723.11	Facility		$723.11	$723.11	$723.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.97 / $783.72 / $1,626.46	Professional		$626.97	$783.72	$1,626.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $873.43	Facility		$555.00	$597.00	$873.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $794.39 / $1,208.32 / $2,736.10	Professional		$794.39	$1,208.32	$2,736.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.84 / $1,025.00 / $2,409.77	Professional		$683.84	$1,025.00	$2,409.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $922.02 / $922.02 / $4,613.81	Facility		$922.02	$922.02	$4,613.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $723.11 / $1,007.73 / $1,949.00	Professional		$723.11	$1,007.73	$1,949.00