Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.18 / $4,629.00 / $10,686.00	Facility		$1,199.18	$4,629.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.79 / $1,029.90 / $2,230.36	Professional		$863.79	$1,029.90	$2,230.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,328.10 / $1,328.10 / $1,328.10	Professional		$1,328.10	$1,328.10	$1,328.10
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 $772.44 / $1,009.73 / $2,239.17	Professional		$772.44	$1,009.73	$2,239.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,397.30 / $2,390.00 / $10,957.50	Facility		$1,397.30	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,397.30 / $1,397.30 / $1,397.30	Professional		$1,397.30	$1,397.30	$1,397.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.04 / $1,120.04 / $1,120.04	Facility		$1,120.04	$1,120.04	$1,120.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.27 / $1,477.37 / $3,709.26	Professional		$974.27	$1,477.37	$3,709.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,150.00 / $2,638.87	Facility		$332.00	$1,150.00	$2,638.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.53 / $1,532.52 / $2,263.56	Professional		$1,079.53	$1,532.52	$2,263.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.03 / $927.03 / $927.03	Facility		$927.03	$927.03	$927.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $805.34 / $1,184.33 / $2,089.17	Professional		$805.34	$1,184.33	$2,089.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,120.04	Facility		$555.00	$597.00	$1,120.04
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $996.91 / $1,477.37 / $3,429.65	Professional		$996.91	$1,477.37	$3,429.65
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 $873.93 / $1,285.05 / $2,972.62	Professional		$873.93	$1,285.05	$2,972.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,184.33 / $1,184.33 / $4,728.21	Facility		$1,184.33	$1,184.33	$4,728.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $827.38 / $1,291.91 / $2,503.48	Professional		$827.38	$1,291.91	$2,503.48