Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.00 / $3,100.00 / $7,839.00	Facility		$839.00	$3,100.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.82 / $807.97 / $1,822.23	Professional		$643.82	$807.97	$1,822.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.30 / $639.92 / $1,615.47	Professional		$515.30	$639.92	$1,615.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,001.53 / $4,275.50 / $16,534.50	Facility		$1,001.53	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,001.53 / $1,001.53 / $1,001.53	Professional		$1,001.53	$1,001.53	$1,001.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.09 / $788.09 / $13,296.25	Facility		$788.09	$788.09	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.10 / $1,012.88 / $2,502.87	Professional		$565.10	$1,012.88	$2,502.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $693.00 / $1,815.91	Facility		$332.00	$693.00	$1,815.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $726.36 / $947.39 / $1,417.81	Professional		$726.36	$947.39	$1,417.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.37 / $653.37 / $1,522.50	Facility		$653.37	$653.37	$1,522.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $835.90 / $1,297.31	Professional		$522.16	$835.90	$1,297.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $788.09 / $13,296.25	Facility		$597.00	$788.09	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $683.39 / $1,004.74 / $2,353.71	Professional		$683.39	$1,004.74	$2,353.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.45 / $811.23 / $1,831.05	Professional		$564.45	$811.23	$1,831.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $835.90 / $835.90 / $2,406.32	Facility		$835.90	$835.90	$2,406.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $937.49 / $1,777.04	Professional		$522.16	$937.49	$1,777.04