Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.64 / $4,629.00 / $10,526.00	Facility		$1,057.64	$4,629.00	$10,526.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $867.02 / $1,674.86	Professional		$754.20	$867.02	$1,674.86
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 $677.48 / $885.60 / $2,021.88	Professional		$677.48	$885.60	$2,021.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,173.31 / $2,390.00 / $10,957.50	Facility		$1,173.31	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,173.31 / $1,173.31 / $1,173.31	Professional		$1,173.31	$1,173.31	$1,173.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.32 / $946.32 / $946.32	Facility		$946.32	$946.32	$946.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.03 / $1,246.15 / $3,133.26	Professional		$830.03	$1,246.15	$3,133.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $900.27 / $2,229.84	Facility		$332.00	$900.27	$2,229.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.31 / $1,294.69 / $1,912.71	Professional		$912.31	$1,294.69	$1,912.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.44 / $783.44 / $783.44	Facility		$783.44	$783.44	$783.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.26 / $998.92 / $1,762.12	Professional		$679.26	$998.92	$1,762.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $946.32	Facility		$555.00	$597.00	$946.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $859.24 / $1,246.07 / $2,895.05	Professional		$859.24	$1,246.07	$2,895.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.55 / $1,058.19 / $2,548.61	Professional		$746.55	$1,058.19	$2,548.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $998.92 / $998.92 / $3,779.98	Facility		$998.92	$998.92	$3,779.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $693.19 / $1,091.80 / $2,111.55	Professional		$693.19	$1,091.80	$2,111.55