Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.51 / $3,797.00 / $10,296.00	Facility		$847.51	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.36 / $767.98 / $1,400.30	Professional		$645.36	$767.98	$1,400.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.16 / $745.32 / $1,727.17	Professional		$570.16	$745.32	$1,727.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,030.48 / $1,030.48 / $37,499.62	Facility		$1,030.48	$1,030.48	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,030.48 / $1,030.48 / $1,030.48	Professional		$1,030.48	$1,030.48	$1,030.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.01 / $831.01 / $831.01	Facility		$831.01	$831.01	$831.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.38 / $1,058.50 / $2,747.67	Professional		$724.38	$1,058.50	$2,747.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $920.00 / $1,959.12	Facility		$332.00	$920.00	$1,959.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $800.64 / $1,137.66 / $1,680.49	Professional		$800.64	$1,137.66	$1,680.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.54 / $687.54 / $687.54	Facility		$687.54	$687.54	$687.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.08 / $747.55 / $1,551.41	Professional		$577.08	$747.55	$1,551.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $831.01	Facility		$555.00	$597.00	$831.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $739.32 / $1,058.50 / $2,490.17	Professional		$739.32	$1,058.50	$2,490.17
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 $638.70 / $916.42 / $2,296.77	Professional		$638.70	$916.42	$2,296.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $879.47 / $879.47 / $3,131.30	Facility		$879.47	$879.47	$3,131.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $598.04 / $958.15 / $1,859.06	Professional		$598.04	$958.15	$1,859.06