Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.16 / $4,392.00 / $10,024.00	Facility		$911.16	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.88 / $745.50 / $1,443.43	Professional		$646.88	$745.50	$1,443.43
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 $560.88 / $733.18 / $1,710.10	Professional		$560.88	$733.18	$1,710.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,009.12 / $1,990.00 / $8,917.50	Facility		$1,009.12	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,009.12 / $1,009.12 / $1,009.12	Professional		$1,009.12	$1,009.12	$1,009.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $815.40 / $815.40	Facility		$815.40	$815.40	$815.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.23 / $1,074.10 / $2,694.80	Professional		$715.23	$1,074.10	$2,694.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $1,921.73	Facility		$332.00	$1,125.00	$1,921.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $785.95 / $1,115.78 / $1,648.41	Professional		$785.95	$1,115.78	$1,648.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.93 / $674.93 / $674.93	Facility		$674.93	$674.93	$674.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.37 / $860.83 / $1,518.53	Professional		$585.37	$860.83	$1,518.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $815.40	Facility		$555.00	$597.00	$815.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $739.61 / $1,069.83 / $2,489.67	Professional		$739.61	$1,069.83	$2,489.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.42 / $926.32 / $2,463.62	Professional		$635.42	$926.32	$2,463.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $860.83 / $860.83 / $3,211.51	Facility		$860.83	$860.83	$3,211.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $598.96 / $940.59 / $1,819.66	Professional		$598.96	$940.59	$1,819.66