Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.86 / $4,260.00 / $10,686.00	Facility		$1,013.86	$4,260.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.83 / $891.80 / $1,674.81	Professional		$735.83	$891.80	$1,674.81
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 $618.28 / $808.21 / $1,899.47	Professional		$618.28	$808.21	$1,899.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,193.13 / $1,990.00 / $8,917.50	Facility		$1,193.13	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,193.13 / $1,193.13 / $1,193.13	Professional		$1,193.13	$1,193.13	$1,193.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.32 / $950.32 / $950.32	Facility		$950.32	$950.32	$950.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.82 / $1,254.78 / $3,092.35	Professional		$834.82	$1,254.78	$3,092.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $903.12 / $2,229.77	Facility		$332.00	$903.12	$2,229.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $911.80 / $1,295.77 / $1,912.65	Professional		$911.80	$1,295.77	$1,912.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $783.00 / $783.00	Facility		$783.00	$783.00	$783.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.05 / $1,008.89 / $1,779.71	Professional		$686.05	$1,008.89	$1,779.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $950.32	Facility		$555.00	$597.00	$950.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $840.53 / $1,236.33 / $2,802.67	Professional		$840.53	$1,236.33	$2,802.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,054.00 / $11,176.00	Facility		$2,264.00	$6,054.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.25 / $1,044.42 / $2,485.57	Professional		$718.25	$1,044.42	$2,485.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,008.89 / $1,008.89 / $3,916.09	Facility		$1,008.89	$1,008.89	$3,916.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $691.99 / $1,091.19 / $2,132.63	Professional		$691.99	$1,091.19	$2,132.63