Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.52 / $4,392.00 / $10,024.00	Facility		$936.52	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.02 / $764.76 / $1,483.25	Professional		$652.02	$764.76	$1,483.25
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 $635.30 / $806.98 / $1,696.93	Professional		$635.30	$806.98	$1,696.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,034.51 / $1,034.51 / $8,917.50	Facility		$1,034.51	$1,034.51	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,034.51 / $1,034.51 / $1,034.51	Professional		$1,034.51	$1,034.51	$1,034.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.54 / $1,104.60 / $2,762.90	Professional		$724.54	$1,104.60	$2,762.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $989.00 / $1,974.74	Facility		$332.00	$989.00	$1,974.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $807.84 / $1,146.69 / $1,693.88	Professional		$807.84	$1,146.69	$1,693.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.72 / $693.72 / $693.72	Facility		$693.72	$693.72	$693.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.23 / $751.32 / $1,559.23	Professional		$593.23	$751.32	$1,559.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $838.09	Facility		$555.00	$597.00	$838.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $728.77 / $1,100.61 / $2,549.65	Professional		$728.77	$1,100.61	$2,549.65
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 $649.26 / $920.73 / $2,142.10	Professional		$649.26	$920.73	$2,142.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $883.90 / $883.90 / $2,991.13	Facility		$883.90	$883.90	$2,991.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $601.04 / $966.77 / $1,868.43	Professional		$601.04	$966.77	$1,868.43