Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.88 / $4,629.00 / $10,674.00	Facility		$1,422.88	$4,629.00	$10,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.47 / $1,217.82 / $2,273.67	Professional		$1,063.47	$1,217.82	$2,273.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $1,058.22 / $1,058.22	Professional		$1,058.22	$1,058.22	$1,058.22
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 $958.72 / $1,253.23 / $2,855.97	Professional		$958.72	$1,253.23	$2,855.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,648.44 / $2,390.00 / $10,957.50	Facility		$1,648.44	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,648.44 / $1,648.44 / $1,648.44	Professional		$1,648.44	$1,648.44	$1,648.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $1,322.60 / $1,322.60	Facility		$1,322.60	$1,322.60	$1,322.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.13 / $1,871.40 / $4,408.54	Professional		$1,168.13	$1,871.40	$4,408.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,710.00 / $3,112.20	Facility		$332.00	$1,710.00	$3,112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.93 / $1,806.34 / $2,669.58	Professional		$1,272.93	$1,806.34	$2,669.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.10 / $1,093.10 / $1,093.10	Facility		$1,093.10	$1,093.10	$1,093.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.68 / $1,395.12 / $2,461.03	Professional		$948.68	$1,395.12	$2,461.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,322.60	Facility		$555.00	$597.00	$1,322.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,211.46 / $1,886.05 / $4,150.68	Professional		$1,211.46	$1,886.05	$4,150.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $8,115.00 / $18,487.00	Facility		$2,444.00	$8,115.00	$18,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.03 / $1,514.57 / $3,593.06	Professional		$1,085.03	$1,514.57	$3,593.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,395.12 / $1,395.12 / $6,500.22	Facility		$1,395.12	$1,395.12	$6,500.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,093.10 / $1,523.36 / $2,949.06	Professional		$1,093.10	$1,523.36	$2,949.06