Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.26 / $4,140.00 / $10,314.00	Facility		$733.26	$4,140.00	$10,314.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.78 / $684.17 / $1,500.31	Professional		$551.78	$684.17	$1,500.31
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 $448.46 / $556.91 / $1,379.79	Professional		$448.46	$556.91	$1,379.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $856.27 / $4,275.50 / $16,534.50	Facility		$856.27	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $856.27 / $856.27 / $856.27	Professional		$856.27	$856.27	$856.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $692.27 / $13,296.25	Facility		$692.27	$692.27	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.18 / $901.66 / $2,259.05	Professional		$508.18	$901.66	$2,259.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $624.00 / $1,646.55	Facility		$332.00	$624.00	$1,646.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $658.62 / $845.60 / $1,266.01	Professional		$658.62	$845.60	$1,266.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.25 / $566.25 / $1,522.50	Facility		$566.25	$566.25	$1,522.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.94 / $722.78 / $1,121.76	Professional		$461.94	$722.78	$1,121.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $692.27 / $13,296.25	Facility		$597.00	$692.27	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $593.29 / $895.55 / $2,096.96	Professional		$593.29	$895.55	$2,096.96
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 $512.60 / $705.76 / $1,674.09	Professional		$512.60	$705.76	$1,674.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $722.78 / $722.78 / $2,201.91	Facility		$722.78	$722.78	$2,201.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $461.94 / $810.63 / $1,536.58	Professional		$461.94	$810.63	$1,536.58