Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.68 / $3,797.00 / $10,296.00	Facility		$827.68	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.84 / $750.75 / $1,368.06	Professional		$623.84	$750.75	$1,368.06
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 $557.07 / $728.20 / $1,580.95	Professional		$557.07	$728.20	$1,580.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,006.99 / $1,006.99 / $37,499.62	Facility		$1,006.99	$1,006.99	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,006.99 / $1,006.99 / $1,006.99	Professional		$1,006.99	$1,006.99	$1,006.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.92 / $810.92 / $810.92	Facility		$810.92	$810.92	$810.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.30 / $1,004.60 / $2,629.76	Professional		$708.30	$1,004.60	$2,629.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $930.00 / $1,910.50	Facility		$332.00	$930.00	$1,910.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $781.48 / $1,109.65 / $1,638.78	Professional		$781.48	$1,109.65	$1,638.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.09 / $671.09 / $671.09	Facility		$671.09	$671.09	$671.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.57 / $730.35 / $1,515.70	Professional		$565.57	$730.35	$1,515.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $810.92	Facility		$555.00	$597.00	$810.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $721.74 / $1,018.83 / $2,427.80	Professional		$721.74	$1,018.83	$2,427.80
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 $619.17 / $894.37 / $2,240.02	Professional		$619.17	$894.37	$2,240.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $859.23 / $859.23 / $3,127.47	Facility		$859.23	$859.23	$3,127.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $565.57 / $935.23 / $1,816.27	Professional		$565.57	$935.23	$1,816.27