Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.99 / $4,629.00 / $10,674.00	Facility		$1,084.99	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.46 / $886.82 / $1,648.87	Professional		$759.46	$886.82	$1,648.87
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 $634.13 / $828.94 / $1,952.99	Professional		$634.13	$828.94	$1,952.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,195.66 / $2,390.00 / $10,957.50	Facility		$1,195.66	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,195.66 / $1,195.66 / $1,195.66	Professional		$1,195.66	$1,195.66	$1,195.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.74 / $941.74 / $941.74	Facility		$941.74	$941.74	$941.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.62 / $1,290.33 / $3,115.34	Professional		$820.62	$1,290.33	$3,115.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,060.00 / $2,195.23	Facility		$332.00	$1,060.00	$2,195.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $902.13 / $1,277.30 / $1,883.02	Professional		$902.13	$1,277.30	$1,883.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.69 / $774.69 / $774.69	Facility		$774.69	$774.69	$774.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.47 / $1,000.70 / $1,765.25	Professional		$680.47	$1,000.70	$1,765.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $941.74	Facility		$555.00	$597.00	$941.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $841.61 / $1,243.84 / $2,851.79	Professional		$841.61	$1,243.84	$2,851.79
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 $730.08 / $1,087.66 / $2,366.19	Professional		$730.08	$1,087.66	$2,366.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,000.70 / $1,000.70 / $4,204.12	Facility		$1,000.70	$1,000.70	$4,204.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $734.79 / $1,079.60 / $2,115.31	Professional		$734.79	$1,079.60	$2,115.31