Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.33 / $3,414.00 / $10,024.00	Facility		$201.33	$3,414.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $203.21 / $384.06	Professional		$141.12	$203.21	$384.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Professional		$13.39	$13.39	$13.39
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 $183.62 / $234.16 / $480.84	Professional		$183.62	$234.16	$480.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.42 / $1,990.00 / $8,917.50	Facility		$223.42	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $223.42 / $309.36	Professional		$223.42	$223.42	$309.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $277.25 / $703.62	Professional		$168.55	$277.25	$703.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $216.25 / $446.18	Facility		$125.00	$216.25	$446.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $355.96 / $528.04	Professional		$254.36	$355.96	$528.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.43 / $218.43 / $218.43	Facility		$218.43	$218.43	$218.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $278.30 / $490.93	Professional		$166.00	$278.30	$490.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $555.00 / $597.00	Facility		$285.79	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $296.22 / $704.22	Professional		$180.32	$296.22	$704.22
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 $190.81 / $276.36 / $670.68	Professional		$190.81	$276.36	$670.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $201.30 / $201.30 / $524.23	Facility		$201.30	$201.30	$524.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $304.39 / $490.93	Professional		$166.00	$304.39	$490.93