Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $4,392.00 / $10,024.00	Facility		$1,003.00	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $772.94 / $1,413.94	Professional		$666.75	$772.94	$1,413.94
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 $606.03 / $792.20 / $1,866.58	Professional		$606.03	$792.20	$1,866.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,045.77 / $1,990.00 / $8,917.50	Facility		$1,045.77	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,045.77 / $1,045.77 / $1,045.77	Professional		$1,045.77	$1,045.77	$1,045.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $844.78	Facility		$844.78	$844.78	$844.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.46 / $1,199.56 / $2,794.75	Professional		$752.46	$1,199.56	$2,794.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $803.78 / $1,991.81	Facility		$332.00	$803.78	$1,991.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $814.22 / $1,156.28 / $1,708.53	Professional		$814.22	$1,156.28	$1,708.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.20 / $699.20 / $699.20	Facility		$699.20	$699.20	$699.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.17 / $891.44 / $1,572.52	Professional		$606.17	$891.44	$1,572.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $844.78	Facility		$555.00	$597.00	$844.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $769.43 / $1,175.49 / $2,643.02	Professional		$769.43	$1,175.49	$2,643.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $7,427.00 / $19,592.00	Facility		$2,337.00	$7,427.00	$19,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.29 / $976.43 / $2,326.58	Professional		$675.29	$976.43	$2,326.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $891.44 / $891.44 / $4,534.47	Facility		$891.44	$891.44	$4,534.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $974.40 / $1,884.36	Professional		$699.20	$974.40	$1,884.36