Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.74 / $3,020.00 / $9,661.00	Facility		$915.74	$3,020.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.05 / $915.74 / $1,588.92	Professional		$690.05	$915.74	$1,588.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,053.00 / $8,281.00	Facility		$2,373.00	$4,053.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.66 / $783.48 / $1,771.25	Professional		$631.66	$783.48	$1,771.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,107.08 / $1,107.08 / $37,499.62	Facility		$1,107.08	$1,107.08	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,107.08 / $1,107.08 / $1,107.08	Professional		$1,107.08	$1,107.08	$1,107.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.51 / $893.51 / $7,227.90	Facility		$893.51	$893.51	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.33 / $1,152.63 / $2,908.31	Professional		$654.33	$1,152.63	$2,908.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $517.50 / $2,115.42	Facility		$332.00	$517.50	$2,115.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $846.17 / $1,086.04 / $1,626.53	Professional		$846.17	$1,086.04	$1,626.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.02 / $727.02 / $727.02	Facility		$727.02	$727.02	$727.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.66 / $929.81 / $1,443.06	Professional		$584.66	$929.81	$1,443.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $893.51 / $41,554.00	Facility		$597.00	$893.51	$41,554.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $669.56 / $1,128.70 / $2,671.36	Professional		$669.56	$1,128.70	$2,671.36
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 $654.32 / $938.45 / $2,172.75	Professional		$654.32	$938.45	$2,172.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $929.81 / $929.81 / $2,502.52	Facility		$929.81	$929.81	$2,502.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $584.66 / $1,042.81 / $1,976.69	Professional		$584.66	$1,042.81	$1,976.69