Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.82 / $4,392.00 / $10,024.00	Facility		$1,000.82	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.73 / $848.67 / $1,565.54	Professional		$710.73	$848.67	$1,565.54
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 $587.12 / $767.48 / $1,809.73	Professional		$587.12	$767.48	$1,809.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,138.06 / $1,990.00 / $8,917.50	Facility		$1,138.06	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,138.06 / $1,138.06 / $1,138.06	Professional		$1,138.06	$1,138.06	$1,138.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.97 / $902.97 / $902.97	Facility		$902.97	$902.97	$902.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.52 / $1,195.22 / $2,947.43	Professional		$792.52	$1,195.22	$2,947.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $856.19 / $2,111.60	Facility		$332.00	$856.19	$2,111.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $863.64 / $1,227.49 / $1,811.29	Professional		$863.64	$1,227.49	$1,811.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $741.64 / $741.64	Facility		$741.64	$741.64	$741.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.62 / $958.27 / $1,690.41	Professional		$651.62	$958.27	$1,690.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $902.97	Facility		$555.00	$597.00	$902.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $776.53 / $1,172.82 / $2,713.39	Professional		$776.53	$1,172.82	$2,713.39
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 $704.96 / $997.45 / $2,480.38	Professional		$704.96	$997.45	$2,480.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $958.27 / $958.27 / $3,855.09	Facility		$958.27	$958.27	$3,855.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $677.51 / $1,033.55 / $2,025.63	Professional		$677.51	$1,033.55	$2,025.63