Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.25 / $4,109.00 / $10,170.00	Facility		$1,030.25	$4,109.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $983.27 / $1,594.72	Professional		$766.75	$983.27	$1,594.72
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 $615.45 / $771.31 / $1,899.51	Professional		$615.45	$771.31	$1,899.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,168.79 / $2,390.00 / $10,957.50	Facility		$1,168.79	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,168.79 / $1,168.79 / $1,168.79	Professional		$1,168.79	$1,168.79	$1,168.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.12 / $924.12 / $6,511.02	Facility		$924.12	$924.12	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.02 / $1,270.34 / $2,952.42	Professional		$636.02	$1,270.34	$2,952.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $986.00 / $2,123.15	Facility		$332.00	$986.00	$2,123.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $931.04 / $1,127.07 / $1,656.04	Professional		$931.04	$1,127.07	$1,656.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.15 / $763.15 / $1,040.38	Facility		$763.15	$763.15	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.52 / $983.27 / $1,526.04	Professional		$610.52	$983.27	$1,526.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $924.12 / $7,771.36	Facility		$597.00	$924.12	$7,771.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $800.06 / $1,223.51 / $2,746.80	Professional		$800.06	$1,223.51	$2,746.80
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 $709.43 / $989.73 / $2,179.84	Professional		$709.43	$989.73	$2,179.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $983.27 / $983.27 / $3,513.21	Facility		$983.27	$983.27	$3,513.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $610.52 / $1,024.91 / $2,090.36	Professional		$610.52	$1,024.91	$2,090.36