Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.23 / $4,392.00 / $10,024.00	Facility		$951.23	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.63 / $736.87 / $1,480.43	Professional		$631.63	$736.87	$1,480.43
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 $560.77 / $733.04 / $1,727.00	Professional		$560.77	$733.04	$1,727.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $970.44 / $970.44 / $8,917.50	Facility		$970.44	$970.44	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $970.44 / $970.44 / $970.44	Professional		$970.44	$970.44	$970.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $784.14 / $784.14	Facility		$784.14	$784.14	$784.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.58 / $1,099.88 / $2,596.00	Professional		$693.58	$1,099.88	$2,596.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $1,848.40	Facility		$332.00	$1,035.00	$1,848.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $755.80 / $1,073.13 / $1,585.51	Professional		$755.80	$1,073.13	$1,585.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.04 / $649.04 / $649.04	Facility		$649.04	$649.04	$649.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.10 / $826.61 / $1,458.16	Professional		$562.10	$826.61	$1,458.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $784.14	Facility		$555.00	$597.00	$784.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $711.07 / $1,068.42 / $2,435.38	Professional		$711.07	$1,068.42	$2,435.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.95 / $906.13 / $2,205.32	Professional		$617.95	$906.13	$2,205.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $826.61 / $826.61 / $3,953.67	Facility		$826.61	$826.61	$3,953.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $904.50 / $1,747.32	Professional		$649.04	$904.50	$1,747.32