Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.51 / $4,640.82 / $10,965.00	Facility		$1,051.51	$4,640.82	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $884.64 / $1,481.45	Professional		$732.60	$884.64	$1,481.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.97 / $792.13 / $1,893.71	Professional		$605.97	$792.13	$1,893.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,184.11 / $2,390.00 / $10,957.50	Facility		$1,184.11	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,184.11 / $1,184.11 / $1,184.11	Professional		$1,184.11	$1,184.11	$1,184.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.23 / $943.23 / $943.23	Facility		$943.23	$943.23	$943.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.46 / $1,245.09 / $3,068.03	Professional		$815.46	$1,245.09	$3,068.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,170.00 / $2,211.84	Facility		$332.00	$1,170.00	$2,211.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $904.69 / $1,285.43 / $1,897.27	Professional		$904.69	$1,285.43	$1,897.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.89 / $776.89 / $776.89	Facility		$776.89	$776.89	$776.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.91 / $1,001.33 / $1,766.38	Professional		$680.91	$1,001.33	$1,766.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $943.23	Facility		$555.00	$597.00	$943.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $827.95 / $1,208.95 / $2,760.20	Professional		$827.95	$1,208.95	$2,760.20
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 $732.80 / $1,051.57 / $2,506.21	Professional		$732.80	$1,051.57	$2,506.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,001.33 / $1,001.33 / $3,992.33	Facility		$1,001.33	$1,001.33	$3,992.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $704.60 / $1,082.67 / $2,116.66	Professional		$704.60	$1,082.67	$2,116.66