Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.39 / $4,260.00 / $10,024.00	Facility		$928.39	$4,260.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.25 / $789.01 / $1,644.69	Professional		$687.25	$789.01	$1,644.69
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 $613.79 / $802.36 / $1,840.64	Professional		$613.79	$802.36	$1,840.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,067.94 / $1,990.00 / $8,917.50	Facility		$1,067.94	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,067.94 / $1,067.94 / $1,067.94	Professional		$1,067.94	$1,067.94	$1,067.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.75 / $863.75 / $863.75	Facility		$863.75	$863.75	$863.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.28 / $1,137.71 / $2,852.30	Professional		$757.28	$1,137.71	$2,852.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,019.00 / $2,036.27	Facility		$332.00	$1,019.00	$2,036.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $832.48 / $1,182.18 / $1,746.67	Professional		$832.48	$1,182.18	$1,746.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.88 / $714.88 / $714.88	Facility		$714.88	$714.88	$714.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.36 / $910.82 / $1,606.71	Professional		$619.36	$910.82	$1,606.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $863.75 / $15,753.00	Facility		$555.00	$863.75	$15,753.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $772.51 / $1,136.74 / $2,635.69	Professional		$772.51	$1,136.74	$2,635.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,700.00 / $16,782.00	Facility		$2,341.00	$6,700.00	$16,782.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.78 / $941.61 / $2,419.23	Professional		$670.78	$941.61	$2,419.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $910.82 / $910.82 / $3,257.23	Facility		$910.82	$910.82	$3,257.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $628.54 / $996.26 / $1,925.33	Professional		$628.54	$996.26	$1,925.33