Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.79 / $4,392.00 / $10,024.00	Facility		$948.79	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.80 / $764.76 / $1,423.73	Professional		$619.80	$764.76	$1,423.73
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 $570.45 / $745.69 / $1,623.13	Professional		$570.45	$745.69	$1,623.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,033.55 / $1,990.00 / $8,917.50	Facility		$1,033.55	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,033.55 / $1,033.55 / $1,033.55	Professional		$1,033.55	$1,033.55	$1,033.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $835.48 / $835.48	Facility		$835.48	$835.48	$835.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.35 / $1,100.00 / $2,739.98	Professional		$717.35	$1,100.00	$2,739.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,968.62	Facility		$300.00	$480.00	$1,968.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $805.33 / $1,143.13 / $1,688.63	Professional		$805.33	$1,143.13	$1,688.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.57 / $691.57 / $691.57	Facility		$691.57	$691.57	$691.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.71 / $749.64 / $1,555.75	Professional		$599.71	$749.64	$1,555.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $835.48	Facility		$555.00	$597.00	$835.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $739.85 / $1,102.50 / $2,541.40	Professional		$739.85	$1,102.50	$2,541.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,457.00	Facility		$2,705.00	$5,547.00	$12,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.59 / $945.50 / $2,190.94	Professional		$675.59	$945.50	$2,190.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $881.93 / $881.93 / $3,749.20	Facility		$881.93	$881.93	$3,749.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $643.74 / $917.21 / $1,864.26	Professional		$643.74	$917.21	$1,864.26