Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.07 / $4,392.00 / $10,024.00	Facility		$889.07	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.47 / $727.50 / $1,263.41	Professional		$616.47	$727.50	$1,263.41
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 $568.45 / $736.86 / $1,660.20	Professional		$568.45	$736.86	$1,660.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $983.35 / $1,990.00 / $8,917.50	Facility		$983.35	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $983.35 / $983.35 / $983.35	Professional		$983.35	$983.35	$983.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $795.67 / $795.67	Facility		$795.67	$795.67	$795.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $1,045.45 / $2,607.37	Professional		$690.00	$1,045.45	$2,607.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $950.00 / $1,875.38	Facility		$332.00	$950.00	$1,875.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $766.90 / $1,088.86 / $1,608.66	Professional		$766.90	$1,088.86	$1,608.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.57 / $658.57 / $658.57	Facility		$658.57	$658.57	$658.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.84 / $838.87 / $1,479.79	Professional		$526.84	$838.87	$1,479.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $795.67	Facility		$555.00	$597.00	$795.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $711.32 / $1,045.45 / $2,426.42	Professional		$711.32	$1,045.45	$2,426.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.66 / $887.44 / $2,234.34	Professional		$623.66	$887.44	$2,234.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $838.87 / $838.87 / $2,966.92	Facility		$838.87	$838.87	$2,966.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $570.42 / $917.79 / $1,773.24	Professional		$570.42	$917.79	$1,773.24