Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.13 / $4,409.00 / $10,024.00	Facility		$1,002.13	$4,409.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.77 / $822.87 / $1,592.49	Professional		$710.77	$822.87	$1,592.49
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 $683.89 / $891.64 / $1,897.00	Professional		$683.89	$891.64	$1,897.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,114.94 / $1,114.94 / $8,917.50	Facility		$1,114.94	$1,114.94	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,114.94 / $1,114.94 / $1,114.94	Professional		$1,114.94	$1,114.94	$1,114.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.46 / $899.46 / $899.46	Facility		$899.46	$899.46	$899.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.94 / $1,186.15 / $2,974.16	Professional		$779.94	$1,186.15	$2,974.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $930.00 / $2,120.17	Facility		$332.00	$930.00	$2,120.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $867.04 / $1,230.84 / $1,818.64	Professional		$867.04	$1,230.84	$1,818.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.56 / $744.56 / $744.56	Facility		$744.56	$744.56	$744.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $949.00 / $1,674.06	Professional		$645.32	$949.00	$1,674.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $899.46	Facility		$555.00	$597.00	$899.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $782.14 / $1,184.58 / $2,760.01	Professional		$782.14	$1,184.58	$2,760.01
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 $701.40 / $1,003.45 / $2,428.66	Professional		$701.40	$1,003.45	$2,428.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $949.00 / $3,448.88	Facility		$949.00	$949.00	$3,448.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $671.67 / $1,037.61 / $2,006.03	Professional		$671.67	$1,037.61	$2,006.03