Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.13 / $3,797.00 / $10,296.00	Facility		$875.13	$3,797.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.05 / $831.82 / $1,814.63	Professional		$676.05	$831.82	$1,814.63
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 $532.59 / $686.34 / $1,732.23	Professional		$532.59	$686.34	$1,732.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,029.20 / $1,029.20 / $10,957.50	Facility		$1,029.20	$1,029.20	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,029.20 / $1,029.20 / $1,029.20	Professional		$1,029.20	$1,029.20	$1,029.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.11 / $1,159.27 / $3,004.23	Professional		$695.11	$1,159.27	$3,004.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,125.00 / $2,037.80	Facility		$332.00	$1,125.00	$2,037.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $840.36 / $1,185.00 / $1,747.98	Professional		$840.36	$1,185.00	$1,747.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.65 / $721.65 / $721.65	Facility		$721.65	$721.65	$721.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.94 / $761.15 / $1,626.47	Professional		$626.94	$761.15	$1,626.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $869.70	Facility		$555.00	$597.00	$869.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $756.26 / $1,159.27 / $2,964.81	Professional		$756.26	$1,159.27	$2,964.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $4,114.00 / $8,841.00	Facility		$2,160.00	$4,114.00	$8,841.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.55 / $1,000.94 / $2,293.35	Professional		$651.55	$1,000.94	$2,293.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $895.47 / $895.47 / $3,337.32	Facility		$895.47	$895.47	$3,337.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $626.98 / $989.53 / $1,949.01	Professional		$626.98	$989.53	$1,949.01