Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.89 / $4,441.00 / $10,170.00	Facility		$968.89	$4,441.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.82 / $833.56 / $1,531.39	Professional		$695.82	$833.56	$1,531.39
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 $572.90 / $748.90 / $1,763.62	Professional		$572.90	$748.90	$1,763.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,113.65 / $1,990.00 / $8,917.50	Facility		$1,113.65	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,113.65 / $1,113.65 / $1,113.65	Professional		$1,113.65	$1,113.65	$1,113.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $887.31 / $887.31 / $887.31	Facility		$887.31	$887.31	$887.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.75 / $1,167.55 / $2,886.47	Professional		$773.75	$1,167.55	$2,886.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $930.00 / $2,075.69	Facility		$332.00	$930.00	$2,075.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $849.14 / $1,206.43 / $1,780.48	Professional		$849.14	$1,206.43	$1,780.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.19 / $729.19 / $729.19	Facility		$729.19	$729.19	$729.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.47 / $941.86 / $1,661.47	Professional		$640.47	$941.86	$1,661.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $887.31	Facility		$555.00	$597.00	$887.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $781.34 / $1,147.32 / $2,604.03	Professional		$781.34	$1,147.32	$2,604.03
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 $681.56 / $967.76 / $2,203.10	Professional		$681.56	$967.76	$2,203.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $941.86 / $941.86 / $3,679.14	Facility		$941.86	$941.86	$3,679.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $650.74 / $1,016.20 / $1,990.94	Professional		$650.74	$1,016.20	$1,990.94