Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.38 / $4,109.00 / $10,170.00	Facility		$743.38	$4,109.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.77 / $726.33 / $1,112.89	Professional		$526.77	$726.33	$1,112.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $4,838.00 / $11,446.00	Facility		$3,248.00	$4,838.00	$11,446.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.98 / $620.90 / $1,374.20	Professional		$499.98	$620.90	$1,374.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $867.87 / $2,390.00 / $10,957.50	Facility		$867.87	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $867.87 / $867.87 / $867.87	Professional		$867.87	$867.87	$867.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.41 / $702.41 / $6,511.02	Facility		$702.41	$702.41	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.89 / $913.20 / $2,293.54	Professional		$523.89	$913.20	$2,293.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $693.00 / $1,669.55	Facility		$332.00	$693.00	$1,669.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $667.82 / $857.59 / $1,283.69	Professional		$667.82	$857.59	$1,283.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.64 / $574.64 / $1,040.38	Facility		$574.64	$574.64	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.31 / $733.79 / $1,138.83	Professional		$466.31	$733.79	$1,138.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $702.41 / $6,511.02	Facility		$597.00	$702.41	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $612.42 / $896.37 / $2,091.61	Professional		$612.42	$896.37	$2,091.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,893.00 / $12,177.00	Facility		$1,694.00	$4,893.00	$12,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.89 / $700.49 / $1,627.13	Professional		$511.89	$700.49	$1,627.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $733.79 / $733.79 / $2,192.17	Facility		$733.79	$733.79	$2,192.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $466.31 / $822.97 / $1,559.97	Professional		$466.31	$822.97	$1,559.97