Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.36 / $5,157.00 / $11,880.00	Facility		$1,046.36	$5,157.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.69 / $865.88 / $1,604.54	Professional		$742.69	$865.88	$1,604.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.48 / $885.60 / $1,952.43	Professional		$677.48	$885.60	$1,952.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,172.33 / $2,644.00 / $12,319.50	Facility		$1,172.33	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,172.33 / $1,172.33 / $1,172.33	Professional		$1,172.33	$1,172.33	$1,172.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.84 / $944.84 / $944.84	Facility		$944.84	$944.84	$944.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.97 / $1,237.72 / $3,100.14	Professional		$812.97	$1,237.72	$3,100.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,075.00 / $2,217.38	Facility		$332.00	$1,075.00	$2,217.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.33 / $1,288.91 / $1,902.02	Professional		$912.33	$1,288.91	$1,902.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.45 / $783.45 / $783.45	Facility		$783.45	$783.45	$783.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.90 / $991.03 / $1,748.21	Professional		$673.90	$991.03	$1,748.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $944.84	Facility		$555.00	$597.00	$944.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $858.97 / $1,286.20 / $2,878.04	Professional		$858.97	$1,286.20	$2,878.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.26 / $1,041.38 / $2,496.84	Professional		$736.26	$1,041.38	$2,496.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $991.03 / $991.03 / $3,838.59	Facility		$991.03	$991.03	$3,838.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $697.88 / $1,030.68 / $2,094.89	Professional		$697.88	$1,030.68	$2,094.89