Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.25 / $5,164.00 / $11,880.00	Facility		$1,032.25	$5,164.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.34 / $820.76 / $1,530.11	Professional		$716.34	$820.76	$1,530.11
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 $640.19 / $836.85 / $1,912.97	Professional		$640.19	$836.85	$1,912.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,110.63 / $2,644.00 / $12,319.50	Facility		$1,110.63	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,110.63 / $1,110.63 / $1,110.63	Professional		$1,110.63	$1,110.63	$1,110.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.48 / $896.48 / $896.48	Facility		$896.48	$896.48	$896.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.55 / $1,183.26 / $2,963.61	Professional		$783.55	$1,183.26	$2,963.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,075.00 / $2,112.35	Facility		$332.00	$1,075.00	$2,112.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $864.24 / $1,226.50 / $1,811.92	Professional		$864.24	$1,226.50	$1,811.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.15 / $742.15 / $742.15	Facility		$742.15	$742.15	$742.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.89 / $946.36 / $1,670.35	Professional		$643.89	$946.36	$1,670.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $896.48	Facility		$555.00	$597.00	$896.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $813.76 / $1,212.89 / $2,739.06	Professional		$813.76	$1,212.89	$2,739.06
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 $706.36 / $1,016.51 / $2,411.52	Professional		$706.36	$1,016.51	$2,411.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $946.90 / $946.90 / $3,609.54	Facility		$946.90	$946.90	$3,609.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $654.52 / $984.78 / $2,001.59	Professional		$654.52	$984.78	$2,001.59