Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.24 / $4,452.00 / $10,686.00	Facility		$1,487.24	$4,452.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.84 / $1,239.24 / $2,323.07	Professional		$1,098.84	$1,239.24	$2,323.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,663.96 / $1,663.96 / $1,663.96	Professional		$1,663.96	$1,663.96	$1,663.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $956.12 / $1,249.83 / $2,942.67	Professional		$956.12	$1,249.83	$2,942.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,678.44 / $1,990.00 / $8,917.50	Facility		$1,678.44	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,678.44 / $1,678.44 / $1,678.44	Professional		$1,678.44	$1,678.44	$1,678.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.04 / $1,391.04 / $1,391.04	Facility		$1,391.04	$1,391.04	$1,391.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.16 / $1,827.55 / $4,451.80	Professional		$1,191.16	$1,827.55	$4,451.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,684.00 / $3,274.25	Facility		$332.00	$1,684.00	$3,274.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.31 / $1,900.42 / $2,808.57	Professional		$1,339.31	$1,900.42	$2,808.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.11 / $1,150.11 / $1,150.11	Facility		$1,150.11	$1,150.11	$1,150.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.98 / $1,467.27 / $2,588.30	Professional		$955.98	$1,467.27	$2,588.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $36,596.00	Facility		$555.00	$597.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,207.82 / $1,827.55 / $4,223.16	Professional		$1,207.82	$1,827.55	$4,223.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,072.03 / $1,502.82 / $3,792.58	Professional		$1,072.03	$1,502.82	$3,792.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,467.27 / $1,467.27 / $4,779.43	Facility		$1,467.27	$1,467.27	$4,779.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $997.75 / $1,602.81 / $3,101.58	Professional		$997.75	$1,602.81	$3,101.58