Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.41 / $3,841.00 / $9,038.00	Facility		$1,003.41	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.87 / $865.40 / $1,926.85	Professional		$719.87	$865.40	$1,926.85
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 $618.27 / $808.20 / $1,859.33	Professional		$618.27	$808.20	$1,859.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,150.74 / $1,716.00 / $6,213.00	Facility		$1,150.74	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,150.74 / $1,150.74 / $1,150.74	Professional		$1,150.74	$1,150.74	$1,150.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.20 / $927.20 / $927.20	Facility		$927.20	$927.20	$927.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.51 / $1,168.52 / $2,983.82	Professional		$789.51	$1,168.52	$2,983.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,085.00 / $2,181.78	Facility		$332.00	$1,085.00	$2,181.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.85 / $1,267.45 / $1,871.48	Professional		$891.85	$1,267.45	$1,871.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.86 / $765.86 / $765.86	Facility		$765.86	$765.86	$765.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.07 / $984.47 / $1,736.63	Professional		$617.07	$984.47	$1,736.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $927.20	Facility		$555.00	$597.00	$927.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $812.88 / $1,171.38 / $2,714.73	Professional		$812.88	$1,171.38	$2,714.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.59 / $1,003.30 / $2,616.51	Professional		$693.59	$1,003.30	$2,616.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $984.47 / $984.47 / $3,359.19	Facility		$984.47	$984.47	$3,359.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $617.07 / $1,067.30 / $2,081.01	Professional		$617.07	$1,067.30	$2,081.01