Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.72 / $4,629.00 / $10,321.00	Facility		$985.72	$4,629.00	$10,321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.42 / $832.96 / $1,552.67	Professional		$714.42	$832.96	$1,552.67
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 $649.86 / $849.50 / $1,944.82	Professional		$649.86	$849.50	$1,944.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,126.88 / $2,390.00 / $10,957.50	Facility		$1,126.88	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,126.88 / $1,126.88 / $1,126.88	Professional		$1,126.88	$1,126.88	$1,126.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.88 / $909.88 / $909.88	Facility		$909.88	$909.88	$909.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.19 / $1,198.19 / $3,009.96	Professional		$791.19	$1,198.19	$3,009.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,239.33 / $2,145.02	Facility		$332.00	$1,239.33	$2,145.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $876.97 / $1,245.28 / $1,839.95	Professional		$876.97	$1,245.28	$1,839.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.09 / $753.09 / $753.09	Facility		$753.09	$753.09	$753.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.57 / $815.72 / $1,692.88	Professional		$652.57	$815.72	$1,692.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $909.88	Facility		$555.00	$597.00	$909.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $825.08 / $1,194.04 / $2,780.71	Professional		$825.08	$1,194.04	$2,780.71
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 $727.80 / $1,033.52 / $2,447.87	Professional		$727.80	$1,033.52	$2,447.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $959.67 / $959.67 / $3,562.21	Facility		$959.67	$959.67	$3,562.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $659.01 / $1,049.51 / $2,028.58	Professional		$659.01	$1,049.51	$2,028.58