Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.90 / $4,392.00 / $10,024.00	Facility		$1,043.90	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.75 / $895.05 / $1,649.03	Professional		$748.75	$895.05	$1,649.03
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 $621.28 / $812.14 / $1,909.35	Professional		$621.28	$812.14	$1,909.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,197.94 / $1,990.00 / $8,917.50	Facility		$1,197.94	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,197.94 / $1,197.94	Professional		$1,197.94	$1,197.94	$1,197.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.42 / $954.42 / $954.42	Facility		$954.42	$954.42	$954.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.61 / $1,263.45 / $3,104.62	Professional		$838.61	$1,263.45	$3,104.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,040.00 / $2,238.44	Facility		$332.00	$1,040.00	$2,238.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $915.42 / $1,300.81 / $1,920.08	Professional		$915.42	$1,300.81	$1,920.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $786.10 / $786.10 / $786.10	Facility		$786.10	$786.10	$786.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.96 / $1,013.18 / $1,787.28	Professional		$688.96	$1,013.18	$1,787.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $954.42	Facility		$555.00	$597.00	$954.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $844.14 / $1,242.71 / $2,814.64	Professional		$844.14	$1,242.71	$2,814.64
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 $734.03 / $1,050.15 / $2,625.92	Professional		$734.03	$1,050.15	$2,625.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,013.18 / $1,013.18 / $3,961.79	Facility		$1,013.18	$1,013.18	$3,961.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $1,095.50 / $2,141.69	Professional		$705.15	$1,095.50	$2,141.69