Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.95 / $4,392.00 / $10,024.00	Facility		$955.95	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.22 / $782.60 / $1,459.15	Professional		$681.22	$782.60	$1,459.15
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 $613.42 / $801.88 / $1,843.41	Professional		$613.42	$801.88	$1,843.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,058.93 / $1,990.00 / $8,917.50	Facility		$1,058.93	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,058.93 / $1,058.93 / $1,058.93	Professional		$1,058.93	$1,058.93	$1,058.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $855.57 / $855.57	Facility		$855.57	$855.57	$855.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $1,126.52 / $2,832.92	Professional		$750.87	$1,126.52	$2,832.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $814.08 / $2,017.28	Facility		$332.00	$814.08	$2,017.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $824.59 / $1,171.07 / $1,730.38	Professional		$824.59	$1,171.07	$1,730.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.11 / $708.11 / $708.11	Facility		$708.11	$708.11	$708.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.50 / $766.87 / $1,591.50	Professional		$613.50	$766.87	$1,591.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $855.57	Facility		$555.00	$597.00	$855.57
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $776.13 / $1,126.52 / $2,613.96	Professional		$776.13	$1,126.52	$2,613.96
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 $665.39 / $943.11 / $2,438.71	Professional		$665.39	$943.11	$2,438.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $902.20 / $902.20 / $3,427.08	Facility		$902.20	$902.20	$3,427.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $635.62 / $986.82 / $1,907.11	Professional		$635.62	$986.82	$1,907.11