Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.01 / $3,841.00 / $9,038.00	Facility		$893.01	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $740.22 / $1,549.38	Professional		$611.66	$740.22	$1,549.38
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 $580.41 / $758.71 / $1,579.35	Professional		$580.41	$758.71	$1,579.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,002.39 / $1,716.00 / $6,213.00	Facility		$1,002.39	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,002.39 / $1,002.39 / $1,002.39	Professional		$1,002.39	$1,002.39	$1,002.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $809.07	Facility		$809.07	$809.07	$809.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.01 / $1,065.58 / $2,734.31	Professional		$702.01	$1,065.58	$2,734.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $769.85 / $1,907.08	Facility		$332.00	$769.85	$1,907.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $779.84 / $1,107.20 / $1,635.85	Professional		$779.84	$1,107.20	$1,635.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.68 / $669.68 / $669.68	Facility		$669.68	$669.68	$669.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.16 / $854.17 / $1,506.77	Professional		$552.16	$854.17	$1,506.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $809.07	Facility		$555.00	$597.00	$809.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $723.91 / $1,078.54 / $2,600.96	Professional		$723.91	$1,078.54	$2,600.96
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 $638.21 / $934.89 / $2,159.61	Professional		$638.21	$934.89	$2,159.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $854.17 / $854.17 / $3,304.89	Facility		$854.17	$854.17	$3,304.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $606.47 / $933.27 / $1,805.57	Professional		$606.47	$933.27	$1,805.57