Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.38 / $4,140.00 / $10,170.00	Facility		$767.38	$4,140.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.66 / $740.29 / $1,189.93	Professional		$582.66	$740.29	$1,189.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.23 / $623.69 / $1,432.88	Professional		$502.23	$623.69	$1,432.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $868.44 / $2,390.00 / $10,957.50	Facility		$868.44	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $868.44 / $868.44 / $868.44	Professional		$868.44	$868.44	$868.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.32 / $686.32 / $6,511.02	Facility		$686.32	$686.32	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.86 / $953.35 / $2,195.85	Professional		$481.86	$953.35	$2,195.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $687.00 / $1,584.23	Facility		$332.00	$687.00	$1,584.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $633.69 / $834.32 / $1,233.49	Professional		$633.69	$834.32	$1,233.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.42 / $568.42 / $1,040.38	Facility		$568.42	$568.42	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.52 / $732.09 / $1,136.20	Professional		$523.52	$732.09	$1,136.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $686.32 / $6,511.02	Facility		$597.00	$686.32	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $620.29 / $909.96 / $2,043.74	Professional		$620.29	$909.96	$2,043.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,092.00 / $5,547.00 / $13,746.00	Facility		$2,092.00	$5,547.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.49 / $727.03 / $1,750.45	Professional		$500.49	$727.03	$1,750.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $732.09 / $732.09 / $2,570.82	Facility		$732.09	$732.09	$2,570.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $528.05 / $821.06 / $1,556.35	Professional		$528.05	$821.06	$1,556.35