Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.28 / $4,640.82 / $10,686.00	Facility		$1,095.28	$4,640.82	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.03 / $932.27 / $1,720.15	Professional		$781.03	$932.27	$1,720.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,159.11 / $1,159.11 / $1,159.11	Professional		$1,159.11	$1,159.11	$1,159.11
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 $649.71 / $849.30 / $1,997.45	Professional		$649.71	$849.30	$1,997.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,249.13 / $2,390.00 / $10,957.50	Facility		$1,249.13	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,249.13 / $1,249.13 / $1,249.13	Professional		$1,249.13	$1,249.13	$1,249.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.19 / $993.19 / $993.19	Facility		$993.19	$993.19	$993.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.87 / $1,323.58 / $3,238.51	Professional		$874.87	$1,323.58	$3,238.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $942.01 / $2,326.34	Facility		$332.00	$942.01	$2,326.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $951.85 / $1,351.84 / $1,995.48	Professional		$951.85	$1,351.84	$1,995.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $817.39 / $817.39 / $817.39	Facility		$817.39	$817.39	$817.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $716.96 / $1,054.34 / $1,859.89	Professional		$716.96	$1,054.34	$1,859.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $993.19	Facility		$555.00	$597.00	$993.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $880.39 / $1,299.32 / $2,951.61	Professional		$880.39	$1,299.32	$2,951.61
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 $767.99 / $1,103.50 / $2,753.71	Professional		$767.99	$1,103.50	$2,753.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,054.34 / $1,054.34 / $4,164.10	Facility		$1,054.34	$1,054.34	$4,164.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $737.54 / $1,139.10 / $2,228.71	Professional		$737.54	$1,139.10	$2,228.71