Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $4,629.00 / $10,674.00	Facility		$1,095.00	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.21 / $909.01 / $1,695.41	Professional		$792.21	$909.01	$1,695.41
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 $711.07 / $929.51 / $2,136.34	Professional		$711.07	$929.51	$2,136.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,230.26 / $2,390.00 / $10,957.50	Facility		$1,230.26	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,230.26 / $1,230.26 / $1,230.26	Professional		$1,230.26	$1,230.26	$1,230.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $990.60	Facility		$990.60	$990.60	$990.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.57 / $1,308.85 / $3,289.84	Professional		$868.57	$1,308.85	$3,289.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $942.19 / $2,333.69	Facility		$332.00	$942.19	$2,333.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.41 / $1,377.92 / $2,001.80	Professional		$1,036.41	$1,377.92	$2,001.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.19 / $820.19 / $820.19	Facility		$820.19	$820.19	$820.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.15 / $1,046.41 / $1,845.90	Professional		$656.15	$1,046.41	$1,845.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $990.60	Facility		$555.00	$597.00	$990.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $900.26 / $1,308.85 / $3,034.53	Professional		$900.26	$1,308.85	$3,034.53
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 $772.19 / $1,091.35 / $2,735.22	Professional		$772.19	$1,091.35	$2,735.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,046.41 / $1,046.41 / $3,977.66	Facility		$1,046.41	$1,046.41	$3,977.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $711.56 / $1,143.02 / $2,211.94	Professional		$711.56	$1,143.02	$2,211.94