Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.83 / $5,324.00 / $12,990.00	Facility		$826.83	$5,324.00	$12,990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.89 / $771.67 / $1,337.89	Professional		$585.89	$771.67	$1,337.89
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 $485.35 / $608.27 / $1,492.97	Professional		$485.35	$608.27	$1,492.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $925.89 / $925.89 / $12,319.50	Facility		$925.89	$925.89	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $925.89 / $925.89 / $925.89	Professional		$925.89	$925.89	$925.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.26 / $749.26 / $7,289.38	Facility		$749.26	$749.26	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.07 / $1,000.61 / $2,445.58	Professional		$558.07	$1,000.61	$2,445.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,010.58 / $2,103.30	Facility		$332.00	$1,010.58	$2,103.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $712.49 / $914.74 / $1,369.55	Professional		$712.49	$914.74	$1,369.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.47 / $612.47 / $612.47	Facility		$612.47	$612.47	$612.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.40 / $782.15 / $1,213.89	Professional		$510.40	$782.15	$1,213.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $749.26 / $12,209.00	Facility		$597.00	$749.26	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $663.77 / $971.54 / $2,273.30	Professional		$663.77	$971.54	$2,273.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,344.00 / $16,403.00	Facility		$2,264.00	$6,344.00	$16,403.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.58 / $777.49 / $1,811.09	Professional		$551.58	$777.49	$1,811.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $782.15 / $782.15 / $2,514.63	Facility		$782.15	$782.15	$2,514.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $510.40 / $877.21 / $1,662.78	Professional		$510.40	$877.21	$1,662.78