Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.33 / $3,053.00 / $9,661.00	Facility		$993.33	$3,053.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $952.33 / $1,655.82	Professional		$736.90	$952.33	$1,655.82
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 $689.06 / $855.70 / $1,932.95	Professional		$689.06	$855.70	$1,932.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,185.01 / $1,185.01 / $37,499.62	Facility		$1,185.01	$1,185.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,185.01 / $1,185.01 / $1,185.01	Professional		$1,185.01	$1,185.01	$1,185.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $970.76 / $970.76 / $7,227.90	Facility		$970.76	$970.76	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $1,257.85 / $3,122.00	Professional		$719.08	$1,257.85	$3,122.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $830.00 / $2,298.08	Facility		$332.00	$830.00	$2,298.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $919.23 / $1,179.79 / $1,766.97	Professional		$919.23	$1,179.79	$1,766.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.82 / $789.82 / $789.82	Facility		$789.82	$789.82	$789.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.34 / $1,009.63 / $1,566.94	Professional		$652.34	$1,009.63	$1,566.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $970.76 / $7,227.90	Facility		$597.00	$970.76	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $843.15 / $1,222.86 / $2,908.46	Professional		$843.15	$1,222.86	$2,908.46
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 $720.59 / $993.90 / $2,497.08	Professional		$720.59	$993.90	$2,497.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,009.63 / $1,009.63 / $2,969.32	Facility		$1,009.63	$1,009.63	$2,969.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $652.34 / $1,132.33 / $2,146.39	Professional		$652.34	$1,132.33	$2,146.39