Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.52 / $4,392.00 / $10,024.00	Facility		$889.52	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.66 / $727.87 / $1,528.30	Professional		$633.66	$727.87	$1,528.30
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 $546.39 / $714.24 / $1,670.58	Professional		$546.39	$714.24	$1,670.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $985.46 / $1,990.00 / $8,917.50	Facility		$985.46	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $985.46 / $985.46 / $985.46	Professional		$985.46	$985.46	$985.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.05 / $796.05 / $796.05	Facility		$796.05	$796.05	$796.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.06 / $1,048.83 / $2,632.22	Professional		$697.06	$1,048.83	$2,632.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $835.00 / $1,876.14	Facility		$332.00	$835.00	$1,876.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $767.29 / $1,089.33 / $1,609.31	Professional		$767.29	$1,089.33	$1,609.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.90 / $658.90 / $658.90	Facility		$658.90	$658.90	$658.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.91 / $839.59 / $1,481.06	Professional		$570.91	$839.59	$1,481.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $796.05	Facility		$555.00	$597.00	$796.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $722.45 / $1,046.42 / $2,427.44	Professional		$722.45	$1,046.42	$2,427.44
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 $642.34 / $877.12 / $2,188.57	Professional		$642.34	$877.12	$2,188.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $839.59 / $839.59 / $3,087.05	Facility		$839.59	$839.59	$3,087.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $572.29 / $918.24 / $1,774.77	Professional		$572.29	$918.24	$1,774.77