Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.90 / $4,392.00 / $10,024.00	Facility		$872.90	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.94 / $715.23 / $1,383.01	Professional		$615.94	$715.23	$1,383.01
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 $558.49 / $730.06 / $1,664.48	Professional		$558.49	$730.06	$1,664.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $966.63 / $1,990.00 / $8,917.50	Facility		$966.63	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $966.63 / $966.63 / $966.63	Professional		$966.63	$966.63	$966.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.17 / $781.17 / $781.17	Facility		$781.17	$781.17	$781.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.73 / $1,028.86 / $2,588.23	Professional		$678.73	$1,028.86	$2,588.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $712.50 / $1,841.29	Facility		$332.00	$712.50	$1,841.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $752.96 / $1,069.02 / $1,579.42	Professional		$752.96	$1,069.02	$1,579.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $646.59 / $646.59 / $646.59	Facility		$646.59	$646.59	$646.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.22 / $700.27 / $1,453.30	Professional		$560.22	$700.27	$1,453.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $781.17	Facility		$555.00	$597.00	$781.17
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $708.09 / $1,028.86 / $2,385.98	Professional		$708.09	$1,028.86	$2,385.98
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 $606.92 / $852.40 / $2,196.28	Professional		$606.92	$852.40	$2,196.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $823.85 / $823.85 / $2,935.32	Facility		$823.85	$823.85	$2,935.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $561.35 / $901.09 / $1,741.49	Professional		$561.35	$901.09	$1,741.49