Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.84 / $5,157.00 / $11,396.00	Facility		$926.84	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.77 / $750.87 / $1,452.59	Professional		$615.77	$750.87	$1,452.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.66 / $746.41 / $1,609.37	Professional		$588.66	$746.41	$1,609.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,016.07 / $1,016.07 / $37,499.62	Facility		$1,016.07	$1,016.07	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,016.07 / $1,016.07 / $1,016.07	Professional		$1,016.07	$1,016.07	$1,016.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.47 / $1,070.42 / $2,713.08	Professional		$711.47	$1,070.42	$2,713.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $780.75 / $1,933.92	Facility		$332.00	$780.75	$1,933.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $791.02 / $1,104.42 / $1,658.87	Professional		$791.02	$1,104.42	$1,658.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.28 / $679.28 / $679.28	Facility		$679.28	$679.28	$679.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.96 / $736.20 / $1,527.86	Professional		$588.96	$736.20	$1,527.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $820.59	Facility		$555.00	$597.00	$820.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $698.51 / $1,063.97 / $2,509.42	Professional		$698.51	$1,063.97	$2,509.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.38 / $902.50 / $2,261.82	Professional		$638.38	$902.50	$2,261.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $866.12 / $866.12 / $3,299.33	Facility		$866.12	$866.12	$3,299.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $629.87 / $946.65 / $1,830.85	Professional		$629.87	$946.65	$1,830.85