Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.02 / $3,621.00 / $10,965.00	Facility		$999.02	$3,621.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.03 / $995.14 / $1,655.29	Professional		$828.03	$995.14	$1,655.29
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 $669.37 / $831.25 / $1,973.21	Professional		$669.37	$831.25	$1,973.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,191.01 / $1,191.01 / $12,319.50	Facility		$1,191.01	$1,191.01	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,191.01 / $1,191.01 / $1,191.01	Professional		$1,191.01	$1,191.01	$1,191.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $948.57 / $948.57 / $7,227.90	Facility		$948.57	$948.57	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.80 / $1,284.80 / $2,994.46	Professional		$656.80	$1,284.80	$2,994.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $828.00 / $2,203.79	Facility		$332.00	$828.00	$2,203.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $881.51 / $1,161.76 / $1,712.26	Professional		$881.51	$1,161.76	$1,712.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.06 / $789.06 / $1,522.50	Facility		$789.06	$789.06	$1,522.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.07 / $968.76 / $1,569.52	Professional		$699.07	$968.76	$1,569.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $948.57 / $16,269.00	Facility		$597.00	$948.57	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $835.67 / $1,240.64 / $2,825.33	Professional		$835.67	$1,240.64	$2,825.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,220.00 / $5,731.00 / $15,090.00	Facility		$2,220.00	$5,731.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.22 / $979.46 / $2,309.66	Professional		$696.22	$979.46	$2,309.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,011.29 / $1,011.29 / $3,805.54	Facility		$1,011.29	$1,011.29	$3,805.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $800.07 / $1,059.71 / $2,149.92	Professional		$800.07	$1,059.71	$2,149.92