Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.68 / $4,392.00 / $10,024.00	Facility		$896.68	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.88 / $733.29 / $1,322.85	Professional		$620.88	$733.29	$1,322.85
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 $574.15 / $750.53 / $1,638.98	Professional		$574.15	$750.53	$1,638.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $993.22 / $1,990.00 / $8,917.50	Facility		$993.22	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $993.22 / $993.22 / $993.22	Professional		$993.22	$993.22	$993.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $802.37 / $802.37	Facility		$802.37	$802.37	$802.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.57 / $1,046.50 / $2,636.86	Professional		$696.57	$1,046.50	$2,636.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,082.00 / $1,890.52	Facility		$332.00	$1,082.00	$1,890.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $773.47 / $1,097.77 / $1,621.64	Professional		$773.47	$1,097.77	$1,621.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $664.21 / $664.21 / $664.21	Facility		$664.21	$664.21	$664.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.21 / $719.98 / $1,494.20	Professional		$563.21	$719.98	$1,494.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $802.37	Facility		$555.00	$597.00	$802.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $724.00 / $1,040.95 / $2,450.54	Professional		$724.00	$1,040.95	$2,450.54
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 $635.86 / $911.74 / $2,286.21	Professional		$635.86	$911.74	$2,286.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $847.04 / $847.04 / $3,030.04	Facility		$847.04	$847.04	$3,030.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $567.04 / $925.64 / $1,790.50	Professional		$567.04	$925.64	$1,790.50