Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.96 / $4,905.00 / $11,880.00	Facility		$936.96	$4,905.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.36 / $857.63 / $1,461.95	Professional		$688.36	$857.63	$1,461.95
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 $585.79 / $727.47 / $1,700.70	Professional		$585.79	$727.47	$1,700.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,046.74 / $2,644.00 / $12,319.50	Facility		$1,046.74	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,046.74 / $1,046.74 / $1,046.74	Professional		$1,046.74	$1,046.74	$1,046.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.74 / $834.74 / $7,289.38	Facility		$834.74	$834.74	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.89 / $1,119.57 / $2,622.09	Professional		$576.89	$1,119.57	$2,622.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $528.00 / $1,941.14	Facility		$332.00	$528.00	$1,941.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.46 / $1,011.55 / $1,505.78	Professional		$776.46	$1,011.55	$1,505.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.91 / $693.91 / $1,192.63	Facility		$693.91	$693.91	$1,192.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.98 / $889.67 / $1,380.78	Professional		$614.98	$889.67	$1,380.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $834.74 / $16,269.00	Facility		$597.00	$834.74	$16,269.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $722.44 / $1,069.69 / $2,489.63	Professional		$722.44	$1,069.69	$2,489.63
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 $613.25 / $865.23 / $1,860.64	Professional		$613.25	$865.23	$1,860.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $889.67 / $889.67 / $3,142.50	Facility		$889.67	$889.67	$3,142.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $654.12 / $997.81 / $1,891.38	Professional		$654.12	$997.81	$1,891.38