Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $3,841.00 / $9,038.00	Facility		$807.00	$3,841.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.51 / $695.13 / $1,516.79	Professional		$577.51	$695.13	$1,516.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.49 / $407.49 / $407.49	Professional		$407.49	$407.49	$407.49
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 $466.03 / $609.20 / $1,381.79	Professional		$466.03	$609.20	$1,381.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $925.53 / $1,716.00 / $6,213.00	Facility		$925.53	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $925.53 / $925.53 / $925.53	Professional		$925.53	$925.53	$925.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $740.79 / $740.79	Facility		$740.79	$740.79	$740.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.95 / $920.39 / $2,382.21	Professional		$632.95	$920.39	$2,382.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $352.00 / $1,728.54	Facility		$220.00	$352.00	$1,728.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $706.95 / $1,005.06 / $1,482.70	Professional		$706.95	$1,005.06	$1,482.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.08 / $607.08 / $607.08	Facility		$607.08	$607.08	$607.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $785.88 / $1,386.31	Professional		$530.01	$785.88	$1,386.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $740.79	Facility		$555.00	$597.00	$740.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $630.54 / $925.94 / $2,150.27	Professional		$630.54	$925.94	$2,150.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,930.00 / $8,312.00	Facility		$1,768.00	$3,930.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $793.89 / $1,897.89	Professional		$560.67	$793.89	$1,897.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $785.88 / $785.88 / $3,037.31	Facility		$785.88	$785.88	$3,037.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $533.87 / $846.03 / $1,661.22	Professional		$533.87	$846.03	$1,661.22