Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.13 / $4,392.00 / $10,024.00	Facility		$951.13	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.10 / $758.50 / $1,401.30	Professional		$653.10	$758.50	$1,401.30
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 $589.24 / $770.25 / $1,719.83	Professional		$589.24	$770.25	$1,719.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,017.36 / $1,990.00 / $8,917.50	Facility		$1,017.36	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,017.36 / $1,017.36 / $1,017.36	Professional		$1,017.36	$1,017.36	$1,017.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.71 / $821.71 / $821.71	Facility		$821.71	$821.71	$821.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.70 / $1,132.26 / $2,717.77	Professional		$712.70	$1,132.26	$2,717.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $781.83 / $1,936.10	Facility		$332.00	$781.83	$1,936.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $792.15 / $1,124.20 / $1,660.75	Professional		$792.15	$1,124.20	$1,660.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.25 / $680.25 / $680.25	Facility		$680.25	$680.25	$680.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.01 / $737.52 / $1,530.58	Professional		$590.01	$737.52	$1,530.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $821.71	Facility		$555.00	$597.00	$821.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $745.63 / $1,122.83 / $2,511.59	Professional		$745.63	$1,122.83	$2,511.59
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 $657.36 / $949.12 / $2,312.19	Professional		$657.36	$949.12	$2,312.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $867.67 / $867.67 / $4,310.06	Facility		$867.67	$867.67	$4,310.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $680.25 / $902.37 / $1,834.11	Professional		$680.25	$902.37	$1,834.11