Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.68 / $4,629.00 / $10,674.00	Facility		$1,085.68	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $915.49 / $1,554.61	Professional		$741.89	$915.49	$1,554.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,279.00 / $11,909.00	Facility		$3,283.00	$5,279.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.24 / $866.99 / $2,007.94	Professional		$663.24	$866.99	$2,007.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,226.64 / $1,226.64 / $37,499.62	Facility		$1,226.64	$1,226.64	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,226.64 / $1,226.64 / $1,226.64	Professional		$1,226.64	$1,226.64	$1,226.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $976.05 / $976.05 / $976.05	Facility		$976.05	$976.05	$976.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.23 / $1,238.85 / $3,152.37	Professional		$854.23	$1,238.85	$3,152.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $2,290.92	Facility		$332.00	$1,125.00	$2,290.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $936.50 / $1,331.10 / $1,965.11	Professional		$936.50	$1,331.10	$1,965.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.21 / $804.21 / $804.21	Facility		$804.21	$804.21	$804.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.94 / $1,036.18 / $1,827.85	Professional		$683.94	$1,036.18	$1,827.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $976.05	Facility		$555.00	$597.00	$976.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $865.46 / $1,234.29 / $2,891.23	Professional		$865.46	$1,234.29	$2,891.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.98 / $1,088.17 / $2,697.37	Professional		$739.98	$1,088.17	$2,697.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,036.18 / $1,036.18 / $3,799.85	Facility		$1,036.18	$1,036.18	$3,799.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $704.60 / $1,120.75 / $2,190.33	Professional		$704.60	$1,120.75	$2,190.33