Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.21 / $4,905.00 / $11,880.00	Facility		$731.21	$4,905.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.35 / $603.64 / $1,148.95	Professional		$502.35	$603.64	$1,148.95
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 $486.48 / $597.77 / $1,259.65	Professional		$486.48	$597.77	$1,259.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $826.92 / $2,644.00 / $12,319.50	Facility		$826.92	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $826.92 / $826.92 / $826.92	Professional		$826.92	$826.92	$826.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.83 / $652.83 / $7,289.38	Facility		$652.83	$652.83	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.12 / $872.57 / $2,017.19	Professional		$457.12	$872.57	$2,017.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $620.80 / $1,529.66	Facility		$332.00	$620.80	$1,529.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $611.87 / $791.54 / $1,176.14	Professional		$611.87	$791.54	$1,176.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.41 / $541.41 / $1,192.63	Facility		$541.41	$541.41	$1,192.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.52 / $664.72 / $1,073.88	Professional		$470.52	$664.72	$1,073.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $652.83 / $16,269.00	Facility		$597.00	$652.83	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $591.35 / $851.56 / $1,949.96	Professional		$591.35	$851.56	$1,949.96
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 $484.65 / $671.08 / $1,686.63	Professional		$484.65	$671.08	$1,686.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $691.93 / $691.93 / $2,242.88	Facility		$691.93	$691.93	$2,242.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $482.91 / $776.03 / $1,471.00	Professional		$482.91	$776.03	$1,471.00