Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.35 / $3,100.00 / $10,170.00	Facility		$816.35	$3,100.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.33 / $816.35 / $1,568.42	Professional		$633.33	$816.35	$1,568.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $691.13 / $1,675.85	Professional		$556.54	$691.13	$1,675.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $968.50 / $968.50 / $37,499.62	Facility		$968.50	$968.50	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $968.50 / $968.50 / $968.50	Professional		$968.50	$968.50	$968.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.60 / $804.60 / $7,227.90	Facility		$804.60	$804.60	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.50 / $1,046.92 / $2,540.57	Professional		$581.50	$1,046.92	$2,540.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,053.00 / $1,927.69	Facility		$332.00	$1,053.00	$1,927.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $771.08 / $989.66 / $1,482.18	Professional		$771.08	$989.66	$1,482.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.31 / $662.31 / $662.31	Facility		$662.31	$662.31	$662.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $821.73 / $1,275.32	Professional		$555.79	$821.73	$1,275.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $804.60 / $7,227.90	Facility		$597.00	$804.60	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,019.15 / $2,398.96	Professional		$600.00	$1,019.15	$2,398.96
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $592.53 / $810.41 / $1,840.78	Professional		$592.53	$810.41	$1,840.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $821.73 / $821.73 / $2,568.31	Facility		$821.73	$821.73	$2,568.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $921.60 / $1,746.93	Professional		$555.79	$921.60	$1,746.93