Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.87 / $3,841.00 / $9,038.00	Facility		$968.87	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.64 / $903.11 / $1,920.86	Professional		$710.64	$903.11	$1,920.86
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 $639.54 / $836.01 / $1,883.06	Professional		$639.54	$836.01	$1,883.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,118.08 / $1,118.08 / $10,957.50	Facility		$1,118.08	$1,118.08	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,118.08 / $1,118.08 / $1,118.08	Professional		$1,118.08	$1,118.08	$1,118.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.34 / $1,225.22 / $3,341.59	Professional		$752.34	$1,225.22	$3,341.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,190.00 / $2,125.44	Facility		$332.00	$1,190.00	$2,125.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $869.21 / $1,233.90 / $1,823.16	Professional		$869.21	$1,233.90	$1,823.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.42 / $746.42 / $746.42	Facility		$746.42	$746.42	$746.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.24 / $923.98 / $1,678.27	Professional		$644.24	$923.98	$1,678.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $901.69	Facility		$555.00	$597.00	$901.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $798.70 / $1,231.45 / $3,150.55	Professional		$798.70	$1,231.45	$3,150.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $4,893.00 / $10,315.00	Facility		$2,380.00	$4,893.00	$10,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.73 / $1,086.61 / $2,717.41	Professional		$706.73	$1,086.61	$2,717.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $923.98 / $923.98 / $3,352.87	Facility		$923.98	$923.98	$3,352.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $644.24 / $1,023.48 / $2,011.08	Professional		$644.24	$1,023.48	$2,011.08