Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $3,841.00 / $9,038.00	Facility		$873.00	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.91 / $747.99 / $1,446.67	Professional		$639.91	$747.99	$1,446.67
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 $587.24 / $744.61 / $1,707.69	Professional		$587.24	$744.61	$1,707.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,012.61 / $1,716.00 / $6,213.00	Facility		$1,012.61	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,012.61 / $1,012.61 / $1,012.61	Professional		$1,012.61	$1,012.61	$1,012.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.25 / $817.25 / $817.25	Facility		$817.25	$817.25	$817.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.27 / $1,076.31 / $2,704.28	Professional		$711.27	$1,076.31	$2,704.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $777.57 / $1,926.05	Facility		$332.00	$777.57	$1,926.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $787.80 / $1,118.26 / $1,652.12	Professional		$787.80	$1,118.26	$1,652.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.51 / $676.51 / $676.51	Facility		$676.51	$676.51	$676.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.28 / $733.17 / $1,521.57	Professional		$576.28	$733.17	$1,521.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $817.25	Facility		$555.00	$597.00	$817.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $1,114.34 / $2,589.14	Professional		$741.90	$1,114.34	$2,589.14
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 $664.76 / $935.81 / $2,203.14	Professional		$664.76	$935.81	$2,203.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $862.55 / $862.55 / $3,136.46	Facility		$862.55	$862.55	$3,136.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $586.54 / $942.78 / $1,823.30	Professional		$586.54	$942.78	$1,823.30