Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.96 / $4,109.00 / $10,170.00	Facility		$886.96	$4,109.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.01 / $823.23 / $1,349.64	Professional		$642.01	$823.23	$1,349.64
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 $594.52 / $738.30 / $1,665.67	Professional		$594.52	$738.30	$1,665.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,036.88 / $2,390.00 / $10,957.50	Facility		$1,036.88	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,036.88 / $1,036.88 / $1,036.88	Professional		$1,036.88	$1,036.88	$1,036.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.01 / $838.01 / $6,511.02	Facility		$838.01	$838.01	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.14 / $1,099.08 / $2,731.08	Professional		$627.14	$1,099.08	$2,731.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $812.00 / $7,533.00	Facility		$332.00	$812.00	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $795.55 / $1,021.27 / $1,529.22	Professional		$795.55	$1,021.27	$1,529.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.88 / $683.88 / $1,040.38	Facility		$683.88	$683.88	$1,040.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.27 / $873.61 / $1,355.85	Professional		$573.27	$873.61	$1,355.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $838.01 / $6,511.02	Facility		$597.00	$838.01	$6,511.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $743.13 / $1,083.74 / $2,539.90	Professional		$743.13	$1,083.74	$2,539.90
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 $619.07 / $871.00 / $2,031.70	Professional		$619.07	$871.00	$2,031.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $873.61 / $873.61 / $2,731.09	Facility		$873.61	$873.61	$2,731.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $573.27 / $979.79 / $1,857.23	Professional		$573.27	$979.79	$1,857.23