Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.04 / $3,951.00 / $10,170.00	Facility		$1,431.04	$3,951.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.02 / $1,302.73 / $2,204.27	Professional		$616.02	$1,302.73	$2,204.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,139.20 / $1,139.20 / $1,139.20	Professional		$1,139.20	$1,139.20	$1,139.20
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 $964.25 / $1,236.22 / $2,585.34	Professional		$964.25	$1,236.22	$2,585.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $1,775.52 / $6,213.00	Facility		$1,716.00	$1,775.52	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,775.52 / $1,775.52 / $1,775.52	Professional		$1,775.52	$1,775.52	$1,775.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.06 / $1,424.06 / $1,424.06	Facility		$1,424.06	$1,424.06	$1,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.01 / $1,630.39 / $4,387.37	Professional		$915.01	$1,630.39	$4,387.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $817.50 / $3,348.95	Facility		$332.00	$817.50	$3,348.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.13 / $1,875.41 / $2,872.65	Professional		$1,350.13	$1,875.41	$2,872.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,176.36 / $1,176.36 / $1,176.36	Facility		$1,176.36	$1,176.36	$1,176.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.23 / $1,500.64 / $2,647.17	Professional		$513.23	$1,500.64	$2,647.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,424.06	Facility		$555.00	$597.00	$1,424.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $888.77 / $1,656.75 / $4,227.26	Professional		$888.77	$1,656.75	$4,227.26
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 $959.57 / $1,550.53 / $3,960.90	Professional		$959.57	$1,550.53	$3,960.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,500.64 / $1,500.64 / $2,965.64	Facility		$1,500.64	$1,500.64	$2,965.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $535.84 / $1,639.39 / $2,965.64	Professional		$535.84	$1,639.39	$2,965.64