Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.96 / $4,392.00 / $10,024.00	Facility		$874.96	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.30 / $742.00 / $1,343.50	Professional		$617.30	$742.00	$1,343.50
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 $502.39 / $656.72 / $1,544.61	Professional		$502.39	$656.72	$1,544.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $988.77 / $1,990.00 / $8,917.50	Facility		$988.77	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $988.77 / $988.77 / $988.77	Professional		$988.77	$988.77	$988.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $789.63 / $789.63	Facility		$789.63	$789.63	$789.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.69 / $1,023.05 / $2,561.29	Professional		$684.69	$1,023.05	$2,561.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $536.00 / $1,844.89	Facility		$332.00	$536.00	$1,844.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $754.73 / $1,072.58 / $1,582.50	Professional		$754.73	$1,072.58	$1,582.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.12 / $648.12 / $648.12	Facility		$648.12	$648.12	$648.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.83 / $712.28 / $1,478.21	Professional		$569.83	$712.28	$1,478.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $789.63	Facility		$555.00	$597.00	$789.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $675.33 / $1,012.19 / $2,295.55	Professional		$675.33	$1,012.19	$2,295.55
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 $585.91 / $811.27 / $1,863.30	Professional		$585.91	$811.27	$1,863.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $837.98 / $837.98 / $3,227.98	Facility		$837.98	$837.98	$3,227.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $571.58 / $903.23 / $1,771.35	Professional		$571.58	$903.23	$1,771.35