Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.40 / $4,683.00 / $11,080.00	Facility		$1,074.40	$4,683.00	$11,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.30 / $855.00 / $1,598.84	Professional		$750.30	$855.00	$1,598.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $747.88 / $747.88 / $747.88	Professional		$747.88	$747.88	$747.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.78 / $880.76 / $2,019.65	Professional		$673.78	$880.76	$2,019.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,160.54 / $2,390.00 / $10,957.50	Facility		$1,160.54	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,160.54 / $1,160.54 / $1,160.54	Professional		$1,160.54	$1,160.54	$1,160.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.05 / $934.05 / $934.05	Facility		$934.05	$934.05	$934.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.65 / $1,240.29 / $3,010.12	Professional		$822.65	$1,240.29	$3,010.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $888.36 / $2,201.73	Facility		$332.00	$888.36	$2,201.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $900.47 / $1,278.10 / $1,888.60	Professional		$900.47	$1,278.10	$1,888.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.27 / $773.27 / $773.27	Facility		$773.27	$773.27	$773.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.43 / $838.04 / $1,739.20	Professional		$670.43	$838.04	$1,739.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $23,612.00	Facility		$555.00	$597.00	$23,612.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $848.46 / $1,240.29 / $2,869.46	Professional		$848.46	$1,240.29	$2,869.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $5,547.00 / $12,742.00	Facility		$2,705.00	$5,547.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.26 / $1,069.00 / $2,587.69	Professional		$749.26	$1,069.00	$2,587.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $985.93 / $985.93 / $3,828.78	Facility		$985.93	$985.93	$3,828.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $702.69 / $1,077.63 / $2,084.10	Professional		$702.69	$1,077.63	$2,084.10