Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.01 / $4,392.00 / $10,024.00	Facility		$939.01	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.10 / $768.79 / $1,611.83	Professional		$670.10	$768.79	$1,611.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.32 / $235.32 / $235.32	Professional		$235.32	$235.32	$235.32
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 $638.86 / $824.65 / $1,768.56	Professional		$638.86	$824.65	$1,768.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,040.48 / $1,990.00 / $8,917.50	Facility		$1,040.48	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,040.48 / $1,040.48 / $1,040.48	Professional		$1,040.48	$1,040.48	$1,040.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.32 / $840.32 / $840.32	Facility		$840.32	$840.32	$840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.13 / $1,106.83 / $2,778.34	Professional		$738.13	$1,106.83	$2,778.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,173.00 / $1,980.88	Facility		$332.00	$1,173.00	$1,980.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $809.98 / $1,150.00 / $1,699.15	Professional		$809.98	$1,150.00	$1,699.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.56 / $695.56 / $695.56	Facility		$695.56	$695.56	$695.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $886.75 / $1,564.25	Professional		$602.99	$886.75	$1,564.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $840.32	Facility		$555.00	$597.00	$840.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $762.93 / $1,106.83 / $2,568.12	Professional		$762.93	$1,106.83	$2,568.12
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 $659.61 / $946.90 / $2,358.76	Professional		$659.61	$946.90	$2,358.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $886.75 / $886.75 / $3,359.31	Facility		$886.75	$886.75	$3,359.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $616.91 / $922.22 / $1,874.45	Professional		$616.91	$922.22	$1,874.45