Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.25 / $5,157.00 / $11,396.00	Facility		$1,111.25	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.10 / $885.70 / $2,103.90	Professional		$780.10	$885.70	$2,103.90
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 $692.56 / $905.32 / $2,079.50	Professional		$692.56	$905.32	$2,079.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,198.85 / $2,644.00 / $12,319.50	Facility		$1,198.85	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,198.85 / $1,198.85 / $1,198.85	Professional		$1,198.85	$1,198.85	$1,198.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $965.68 / $965.68 / $965.68	Facility		$965.68	$965.68	$965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.29 / $1,296.20 / $3,201.00	Professional		$846.29	$1,296.20	$3,201.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $985.00 / $2,275.65	Facility		$332.00	$985.00	$2,275.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $930.97 / $1,321.20 / $1,952.00	Professional		$930.97	$1,321.20	$1,952.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.46 / $799.46 / $799.46	Facility		$799.46	$799.46	$799.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.55 / $1,019.93 / $1,799.18	Professional		$693.55	$1,019.93	$1,799.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $965.68	Facility		$555.00	$597.00	$965.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $877.97 / $1,296.20 / $2,964.20	Professional		$877.97	$1,296.20	$2,964.20
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 $781.32 / $1,093.54 / $2,775.49	Professional		$781.32	$1,093.54	$2,775.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,019.93 / $1,019.93 / $4,082.66	Facility		$1,019.93	$1,019.93	$4,082.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $737.05 / $1,114.13 / $2,155.96	Professional		$737.05	$1,114.13	$2,155.96