Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $4,629.00 / $10,674.00	Facility		$1,095.00	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.42 / $898.58 / $1,676.56	Professional		$772.42	$898.58	$1,676.56
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 $675.13 / $882.53 / $2,050.15	Professional		$675.13	$882.53	$2,050.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,216.70 / $1,216.70 / $10,957.50	Facility		$1,216.70	$1,216.70	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,216.70 / $1,216.70 / $1,216.70	Professional		$1,216.70	$1,216.70	$1,216.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.16 / $983.16 / $983.16	Facility		$983.16	$983.16	$983.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.13 / $1,275.23 / $3,241.85	Professional		$850.13	$1,275.23	$3,241.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,015.00 / $2,316.11	Facility		$332.00	$1,015.00	$2,316.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.22 / $1,367.28 / $1,986.70	Professional		$1,029.22	$1,367.28	$1,986.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.86 / $813.86 / $813.86	Facility		$813.86	$813.86	$813.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.09 / $881.93 / $1,830.29	Professional		$651.09	$881.93	$1,830.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $983.16	Facility		$555.00	$597.00	$983.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $853.56 / $1,275.23 / $2,994.93	Professional		$853.56	$1,275.23	$2,994.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.64 / $1,071.85 / $2,759.24	Professional		$762.64	$1,071.85	$2,759.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,037.57 / $1,037.57 / $3,304.49	Facility		$1,037.57	$1,037.57	$3,304.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $705.55 / $1,134.20 / $2,193.25	Professional		$705.55	$1,134.20	$2,193.25