Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.44 / $3,841.00 / $9,038.00	Facility		$855.44	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.73 / $797.68 / $1,667.48	Professional		$628.73	$797.68	$1,667.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,248.00 / $5,196.00 / $11,909.00	Facility		$3,248.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $734.13 / $1,665.17	Professional		$561.60	$734.13	$1,665.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $985.94 / $985.94 / $10,957.50	Facility		$985.94	$985.94	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $985.94 / $985.94 / $985.94	Professional		$985.94	$985.94	$985.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $797.54 / $797.54 / $797.54	Facility		$797.54	$797.54	$797.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.26 / $1,084.59 / $2,951.04	Professional		$661.26	$1,084.59	$2,951.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,030.00 / $1,879.65	Facility		$332.00	$1,030.00	$1,879.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $1,091.36 / $1,612.32	Professional		$768.71	$1,091.36	$1,612.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.12 / $660.12 / $660.12	Facility		$660.12	$660.12	$660.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.44 / $816.95 / $1,483.85	Professional		$569.44	$816.95	$1,483.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $797.54	Facility		$555.00	$597.00	$797.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $702.76 / $1,084.59 / $2,765.82	Professional		$702.76	$1,084.59	$2,765.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,200.00	Facility		$2,264.00	$5,248.00	$11,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.76 / $911.75 / $2,118.26	Professional		$617.76	$911.75	$2,118.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $816.95 / $816.95 / $2,888.05	Facility		$816.95	$816.95	$2,888.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $569.44 / $905.16 / $1,778.11	Professional		$569.44	$905.16	$1,778.11