Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.81 / $4,392.00 / $10,024.00	Facility		$1,073.81	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.49 / $920.37 / $1,696.42	Professional		$770.49	$920.37	$1,696.42
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 $640.41 / $837.15 / $2,000.75	Professional		$640.41	$837.15	$2,000.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,232.45 / $1,990.00 / $8,917.50	Facility		$1,232.45	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,232.45 / $1,232.45 / $1,232.45	Professional		$1,232.45	$1,232.45	$1,232.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.27 / $981.27 / $981.27	Facility		$981.27	$981.27	$981.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.61 / $1,302.77 / $3,193.85	Professional		$862.61	$1,302.77	$3,193.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $932.82 / $2,304.11	Facility		$332.00	$932.82	$2,304.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $941.85 / $1,338.78 / $1,976.42	Professional		$941.85	$1,338.78	$1,976.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.80 / $808.80 / $808.80	Facility		$808.80	$808.80	$808.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.41 / $1,041.78 / $1,837.73	Professional		$708.41	$1,041.78	$1,837.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $981.27	Facility		$555.00	$597.00	$981.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $870.45 / $1,280.07 / $2,915.61	Professional		$870.45	$1,280.07	$2,915.61
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 $743.99 / $1,080.16 / $2,692.76	Professional		$743.99	$1,080.16	$2,692.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,041.78 / $1,041.78 / $4,135.85	Facility		$1,041.78	$1,041.78	$4,135.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $727.61 / $1,127.15 / $2,202.16	Professional		$727.61	$1,127.15	$2,202.16