Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.14 / $4,392.00 / $10,024.00	Facility		$1,071.14	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.27 / $925.35 / $1,740.21	Professional		$775.27	$925.35	$1,740.21
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 $671.21 / $877.41 / $2,057.01	Professional		$671.21	$877.41	$2,057.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,240.08 / $1,990.00 / $8,917.50	Facility		$1,240.08	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,240.08 / $1,240.08 / $1,240.08	Professional		$1,240.08	$1,240.08	$1,240.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.85 / $986.85 / $986.85	Facility		$986.85	$986.85	$986.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.02 / $1,306.15 / $3,213.91	Professional		$867.02	$1,306.15	$3,213.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,430.00 / $2,316.85	Facility		$332.00	$1,430.00	$2,316.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.86 / $1,366.66 / $1,987.34	Professional		$1,031.86	$1,366.66	$1,987.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.49 / $813.49 / $813.49	Facility		$813.49	$813.49	$813.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $1,047.71 / $1,848.19	Professional		$650.79	$1,047.71	$1,848.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $986.85	Facility		$555.00	$597.00	$986.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $875.26 / $1,288.39 / $2,922.91	Professional		$875.26	$1,288.39	$2,922.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.15 / $1,080.96 / $2,590.34	Professional		$771.15	$1,080.96	$2,590.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,047.71 / $1,047.71 / $4,077.64	Facility		$1,047.71	$1,047.71	$4,077.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $712.45 / $1,133.67 / $2,214.69	Professional		$712.45	$1,133.67	$2,214.69