Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.80 / $3,841.00 / $9,038.00	Facility		$991.80	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.57 / $866.88 / $1,725.83	Professional		$606.57	$866.88	$1,725.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.09 / $787.53 / $1,744.63	Professional		$621.09	$787.53	$1,744.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,172.63 / $1,716.00 / $6,213.00	Facility		$1,172.63	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,172.63 / $1,172.63 / $1,172.63	Professional		$1,172.63	$1,172.63	$1,172.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.11 / $973.11 / $973.11	Facility		$973.11	$973.11	$973.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.44 / $1,177.27 / $3,451.01	Professional		$697.44	$1,177.27	$3,451.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $938.27 / $2,403.77	Facility		$332.00	$938.27	$2,403.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $920.14 / $1,327.47 / $2,061.90	Professional		$920.14	$1,327.47	$2,061.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.16 / $790.16 / $790.16	Facility		$790.16	$790.16	$790.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.14 / $980.29 / $1,780.55	Professional		$494.14	$980.29	$1,780.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $973.11	Facility		$555.00	$597.00	$973.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $803.91 / $1,182.73 / $3,246.47	Professional		$803.91	$1,182.73	$3,246.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.95 / $1,069.52 / $2,644.68	Professional		$680.95	$1,069.52	$2,644.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $980.29 / $980.29 / $2,744.79	Facility		$980.29	$980.29	$2,744.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $509.59 / $1,083.47 / $2,133.64	Professional		$509.59	$1,083.47	$2,133.64