Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.07 / $3,100.00 / $10,170.00	Facility		$976.07	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.55 / $976.07 / $1,688.41	Professional		$785.55	$976.07	$1,688.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $7,264.00 / $13,780.00	Facility		$4,499.00	$7,264.00	$13,780.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.65 / $831.59 / $1,914.90	Professional		$669.65	$831.59	$1,914.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,153.67 / $2,644.00 / $12,319.50	Facility		$1,153.67	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,153.67 / $1,153.67 / $1,153.67	Professional		$1,153.67	$1,153.67	$1,153.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.15 / $938.15 / $7,227.90	Facility		$938.15	$938.15	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.66 / $1,302.95 / $3,013.09	Professional		$695.66	$1,302.95	$3,013.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $894.32 / $2,247.89	Facility		$332.00	$894.32	$2,247.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $899.15 / $1,153.96 / $1,728.37	Professional		$899.15	$1,153.96	$1,728.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.26 / $772.26 / $772.26	Facility		$772.26	$772.26	$772.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.47 / $965.79 / $1,498.91	Professional		$554.47	$965.79	$1,498.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $938.15 / $7,227.90	Facility		$597.00	$938.15	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,225.30 / $2,829.61	Professional		$840.00	$1,225.30	$2,829.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $3,962.00 / $7,222.00	Facility		$1,419.00	$3,962.00	$7,222.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.34 / $982.38 / $2,466.46	Professional		$726.34	$982.38	$2,466.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $965.79 / $965.79 / $2,087.65	Facility		$965.79	$965.79	$2,087.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $554.47 / $1,083.17 / $2,053.19	Professional		$554.47	$1,083.17	$2,053.19