Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.81 / $5,228.00 / $12,592.00	Facility		$996.81	$5,228.00	$12,592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.13 / $909.01 / $1,555.75	Professional		$683.13	$909.01	$1,555.75
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 $567.04 / $704.18 / $1,745.46	Professional		$567.04	$704.18	$1,745.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,080.01 / $1,080.01 / $12,319.50	Facility		$1,080.01	$1,080.01	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,080.01 / $1,080.01 / $1,080.01	Professional		$1,080.01	$1,080.01	$1,080.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.68 / $873.68 / $7,289.38	Facility		$873.68	$873.68	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.63 / $1,168.68 / $2,846.94	Professional		$651.63	$1,168.68	$2,846.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,202.00 / $2,503.05	Facility		$332.00	$1,202.00	$2,503.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $828.50 / $1,063.49 / $1,592.57	Professional		$828.50	$1,063.49	$1,592.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $712.02 / $712.02 / $712.02	Facility		$712.02	$712.02	$712.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.24 / $910.03 / $1,412.37	Professional		$605.24	$910.03	$1,412.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $873.68 / $12,209.00	Facility		$597.00	$873.68	$12,209.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $775.18 / $1,127.35 / $2,653.85	Professional		$775.18	$1,127.35	$2,653.85
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 $644.65 / $898.06 / $2,312.71	Professional		$644.65	$898.06	$2,312.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $910.03 / $910.03 / $3,015.12	Facility		$910.03	$910.03	$3,015.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $605.24 / $1,020.64 / $1,934.65	Professional		$605.24	$1,020.64	$1,934.65