Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.02 / $5,411.00 / $13,593.02	Facility		$888.02	$5,411.00	$13,593.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.42 / $765.54 / $1,545.29	Professional		$651.42	$765.54	$1,545.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.46 / $732.01 / $1,635.89	Professional		$589.46	$732.01	$1,635.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,004.35 / $3,478.50 / $13,477.50	Facility		$1,004.35	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,004.35 / $1,004.35 / $1,004.35	Professional		$1,004.35	$1,004.35	$1,004.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $792.33 / $10,297.11	Facility		$792.33	$792.33	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.26 / $1,094.55 / $2,442.51	Professional		$560.26	$1,094.55	$2,442.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $815.00 / $1,856.79	Facility		$332.00	$815.00	$1,856.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $742.72 / $960.35 / $1,427.67	Professional		$742.72	$960.35	$1,427.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.16 / $657.16 / $1,395.63	Facility		$657.16	$657.16	$1,395.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.23 / $839.25 / $1,302.51	Professional		$595.23	$839.25	$1,302.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $792.33 / $16,269.00	Facility		$597.00	$792.33	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $725.79 / $1,062.50 / $2,365.92	Professional		$725.79	$1,062.50	$2,365.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,547.00 / $13,746.00	Facility		$2,160.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.80 / $810.60 / $1,856.21	Professional		$581.80	$810.60	$1,856.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $839.25 / $839.25 / $2,945.15	Facility		$839.25	$839.25	$2,945.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $599.84 / $941.25 / $1,784.17	Professional		$599.84	$941.25	$1,784.17