Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.74 / $2,902.00 / $10,170.00	Facility		$523.74	$2,902.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.90 / $904.60 / $3,007.77	Professional		$384.90	$904.60	$3,007.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.21 / $872.38 / $4,363.52	Professional		$668.21	$872.38	$4,363.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $546.91 / $2,390.00 / $10,957.50	Facility		$546.91	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $546.91 / $1,398.22	Professional		$546.91	$546.91	$1,398.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.66 / $619.66 / $10,297.11	Facility		$619.66	$619.66	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.94 / $918.10 / $3,417.92	Professional		$396.94	$918.10	$3,417.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $346.00 / $983.61	Facility		$282.00	$346.00	$983.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.25 / $1,256.93 / $1,823.84	Professional		$1,001.25	$1,256.93	$1,823.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.03 / $820.03 / $1,040.38	Facility		$820.03	$820.03	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.86 / $1,328.44 / $2,618.38	Professional		$784.86	$1,328.44	$2,618.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $619.66 / $10,297.11	Facility		$597.00	$619.66	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $466.99 / $1,231.56 / $3,528.21	Professional		$466.99	$1,231.56	$3,528.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,166.25 / $3,973.44	Professional		$801.00	$1,166.25	$3,973.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $1,176.10	Facility		$450.88	$450.88	$1,176.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $919.61 / $1,295.64 / $2,618.38	Professional		$919.61	$1,295.64	$2,618.38