Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.45 / $5,157.00 / $11,396.00	Facility		$1,093.45	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.58 / $897.78 / $1,673.51	Professional		$761.58	$897.78	$1,673.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,228.00	Facility		$3,283.00	$5,434.00	$12,228.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.96 / $917.60 / $2,068.40	Professional		$701.96	$917.60	$2,068.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,214.48 / $1,214.48 / $37,499.62	Facility		$1,214.48	$1,214.48	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,214.48 / $1,214.48 / $1,214.48	Professional		$1,214.48	$1,214.48	$1,214.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.32 / $978.32 / $978.32	Facility		$978.32	$978.32	$978.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.90 / $1,292.52 / $3,248.58	Professional		$851.90	$1,292.52	$3,248.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,358.00 / $2,305.21	Facility		$332.00	$1,358.00	$2,305.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $943.20 / $1,338.42 / $1,977.36	Professional		$943.20	$1,338.42	$1,977.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.96 / $809.96 / $809.96	Facility		$809.96	$809.96	$809.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.67 / $1,033.33 / $1,822.84	Professional		$702.67	$1,033.33	$1,822.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $978.32	Facility		$555.00	$597.00	$978.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $876.17 / $1,287.94 / $2,998.77	Professional		$876.17	$1,287.94	$2,998.77
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 $768.87 / $1,101.36 / $2,758.92	Professional		$768.87	$1,101.36	$2,758.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,033.33 / $1,033.33 / $3,715.17	Facility		$1,033.33	$1,033.33	$3,715.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $738.08 / $1,128.76 / $2,184.31	Professional		$738.08	$1,128.76	$2,184.31