Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.61 / $3,978.00 / $10,170.00	Facility		$847.61	$3,978.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.83 / $766.27 / $1,514.72	Professional		$606.83	$766.27	$1,514.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.41 / $726.04 / $1,598.78	Professional		$555.41	$726.04	$1,598.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $942.57 / $942.57 / $12,319.50	Facility		$942.57	$942.57	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $942.57 / $942.57 / $942.57	Professional		$942.57	$942.57	$942.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.03 / $781.03 / $781.03	Facility		$781.03	$781.03	$781.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.50 / $1,045.16 / $3,011.91	Professional		$642.50	$1,045.16	$3,011.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,148.98 / $2,072.00	Facility		$332.00	$1,148.98	$2,072.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $738.07 / $1,054.80 / $1,608.77	Professional		$738.07	$1,054.80	$1,608.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.86 / $627.86 / $627.86	Facility		$627.86	$627.86	$627.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.79 / $790.52 / $1,435.85	Professional		$503.79	$790.52	$1,435.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $49,110.00	Facility		$555.00	$597.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.43 / $1,038.82 / $2,831.41	Professional		$676.43	$1,038.82	$2,831.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,770.00	Facility		$2,264.00	$5,963.00	$14,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.15 / $922.31 / $2,275.73	Professional		$594.15	$922.31	$2,275.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $790.52 / $790.52 / $2,558.73	Facility		$790.52	$790.52	$2,558.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $553.49 / $860.92 / $1,720.58	Professional		$553.49	$860.92	$1,720.58