Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.49 / $3,599.00 / $9,038.00	Facility		$928.49	$3,599.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.48 / $912.09 / $1,478.34	Professional		$695.48	$912.09	$1,478.34
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 $567.55 / $704.82 / $1,730.31	Professional		$567.55	$704.82	$1,730.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,088.76 / $1,716.00 / $6,213.00	Facility		$1,088.76	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,088.76 / $1,088.76 / $1,088.76	Professional		$1,088.76	$1,088.76	$1,088.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.77 / $850.77 / $4,612.43	Facility		$850.77	$850.77	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.09 / $1,136.05 / $2,740.03	Professional		$591.09	$1,136.05	$2,740.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $346.00 / $1,968.21	Facility		$300.00	$346.00	$1,968.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $787.28 / $1,025.69 / $1,526.42	Professional		$787.28	$1,025.69	$1,526.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $703.42	Facility		$639.45	$639.45	$703.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.01 / $876.54 / $1,386.57	Professional		$631.01	$876.54	$1,386.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $850.77 / $4,612.43	Facility		$597.00	$850.77	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,110.68 / $2,550.78	Professional		$600.00	$1,110.68	$2,550.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.58 / $838.26 / $1,950.67	Professional		$600.58	$838.26	$1,950.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $703.42 / $907.44 / $2,198.92	Facility		$703.42	$907.44	$2,198.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $988.31 / $1,929.15	Professional		$709.38	$988.31	$1,929.15