Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.11 / $4,051.00 / $10,024.00	Facility		$885.11	$4,051.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.04 / $759.65 / $1,281.64	Professional		$657.04	$759.65	$1,281.64
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 $592.85 / $769.51 / $1,752.64	Professional		$592.85	$769.51	$1,752.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,034.80 / $1,990.00 / $8,917.50	Facility		$1,034.80	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,034.80 / $1,034.80 / $1,034.80	Professional		$1,034.80	$1,034.80	$1,034.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.15 / $833.15 / $833.15	Facility		$833.15	$833.15	$833.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.81 / $1,023.42 / $2,563.12	Professional		$670.81	$1,023.42	$2,563.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $761.19 / $1,829.72	Facility		$332.00	$761.19	$1,829.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $796.72 / $1,075.57 / $1,569.50	Professional		$796.72	$1,075.57	$1,569.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.14 / $687.14 / $687.14	Facility		$687.14	$687.14	$687.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.80 / $878.60 / $1,549.88	Professional		$607.80	$878.60	$1,549.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $833.15	Facility		$555.00	$597.00	$833.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $718.72 / $1,051.03 / $2,439.26	Professional		$718.72	$1,051.03	$2,439.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.58 / $918.89 / $2,083.53	Professional		$664.58	$918.89	$2,083.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $878.60 / $878.60 / $2,670.00	Facility		$878.60	$878.60	$2,670.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $607.80 / $957.60 / $1,857.23	Professional		$607.80	$957.60	$1,857.23