Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.78 / $4,308.00 / $10,024.00	Facility		$1,069.78	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.69 / $914.07 / $1,567.58	Professional		$795.69	$914.07	$1,567.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.46 / $913.53 / $2,086.28	Professional		$720.46	$913.53	$2,086.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,238.48 / $3,183.00 / $13,009.50	Facility		$1,238.48	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,238.48 / $1,238.48 / $1,238.48	Professional		$1,238.48	$1,238.48	$1,238.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $998.04 / $998.04	Facility		$998.04	$998.04	$998.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.91 / $1,315.23 / $3,305.80	Professional		$866.91	$1,315.23	$3,305.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,225.00 / $2,351.36	Facility		$332.00	$1,225.00	$2,351.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $949.23 / $1,365.23 / $2,016.95	Professional		$949.23	$1,365.23	$2,016.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.35 / $826.35 / $826.35	Facility		$826.35	$826.35	$826.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.34 / $895.85 / $1,859.18	Professional		$712.34	$895.85	$1,859.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $998.04	Facility		$555.00	$597.00	$998.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $894.34 / $1,313.90 / $3,057.55	Professional		$894.34	$1,313.90	$3,057.55
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 $779.46 / $1,095.06 / $2,859.68	Professional		$779.46	$1,095.06	$2,859.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,053.94 / $1,053.94 / $2,610.69	Facility		$1,053.94	$1,053.94	$2,610.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,151.59 / $2,227.86	Professional		$716.68	$1,151.59	$2,227.86