Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.16 / $3,797.00 / $10,296.00	Facility		$907.16	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.54 / $848.76 / $1,537.15	Professional		$687.54	$848.76	$1,537.15
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 $609.45 / $796.67 / $1,739.02	Professional		$609.45	$796.67	$1,739.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,135.22 / $1,135.22 / $8,917.50	Facility		$1,135.22	$1,135.22	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,135.22 / $1,135.22 / $1,135.22	Professional		$1,135.22	$1,135.22	$1,135.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $904.09 / $904.09	Facility		$904.09	$904.09	$904.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.26 / $1,146.04 / $2,942.27	Professional		$790.26	$1,146.04	$2,942.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $2,115.02	Facility		$332.00	$1,125.00	$2,115.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $865.32 / $1,229.27 / $1,814.22	Professional		$865.32	$1,229.27	$1,814.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.08 / $743.08 / $743.08	Facility		$743.08	$743.08	$743.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.22 / $815.69 / $1,692.83	Professional		$638.22	$815.69	$1,692.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $904.09	Facility		$555.00	$597.00	$904.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $775.76 / $1,151.70 / $2,664.56	Professional		$775.76	$1,151.70	$2,664.56
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 $683.24 / $985.01 / $2,412.42	Professional		$683.24	$985.01	$2,412.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $959.64 / $959.64 / $3,562.58	Facility		$959.64	$959.64	$3,562.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $638.22 / $1,035.56 / $2,028.53	Professional		$638.22	$1,035.56	$2,028.53