Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.98 / $5,157.00 / $11,396.00	Facility		$1,196.98	$5,157.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.09 / $914.72 / $1,751.99	Professional		$797.09	$914.72	$1,751.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.46 / $941.79 / $2,205.90	Professional		$720.46	$941.79	$2,205.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $37,499.62	Facility		$1,239.56	$1,239.56	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,239.56	Professional		$1,239.56	$1,239.56	$1,239.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.62 / $993.62 / $993.62	Facility		$993.62	$993.62	$993.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.50 / $1,404.93 / $3,316.57	Professional		$876.50	$1,404.93	$3,316.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $940.36 / $2,332.53	Facility		$332.00	$940.36	$2,332.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.17 / $1,353.75 / $2,000.79	Professional		$954.17	$1,353.75	$2,000.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.38 / $819.38 / $819.38	Facility		$819.38	$819.38	$819.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.93 / $889.91 / $1,846.84	Professional		$711.93	$889.91	$1,846.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $993.62	Facility		$555.00	$597.00	$993.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $902.94 / $1,412.33 / $3,097.98	Professional		$902.94	$1,412.33	$3,097.98
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 $781.68 / $1,146.49 / $2,705.51	Professional		$781.68	$1,146.49	$2,705.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,046.95 / $1,046.95 / $4,993.67	Facility		$1,046.95	$1,046.95	$4,993.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $816.25 / $1,141.89 / $2,213.08	Professional		$816.25	$1,141.89	$2,213.08