Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.50 / $4,441.00 / $10,170.00	Facility		$1,120.50	$4,441.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.65 / $962.45 / $1,806.51	Professional		$793.65	$962.45	$1,806.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $599.29 / $599.29 / $599.29	Professional		$599.29	$599.29	$599.29
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 $684.01 / $881.46 / $2,058.38	Professional		$684.01	$881.46	$2,058.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,289.14 / $1,990.00 / $8,917.50	Facility		$1,289.14	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,289.14 / $1,289.14 / $1,289.14	Professional		$1,289.14	$1,289.14	$1,289.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $1,026.75 / $1,026.75	Facility		$1,026.75	$1,026.75	$1,026.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.24 / $1,356.17 / $3,338.96	Professional		$903.24	$1,356.17	$3,338.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,220.00 / $2,405.12	Facility		$332.00	$1,220.00	$2,405.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $984.12 / $1,397.61 / $2,063.05	Professional		$984.12	$1,397.61	$2,063.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.10 / $845.10 / $845.10	Facility		$845.10	$845.10	$845.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.20 / $1,090.00 / $1,922.78	Professional		$741.20	$1,090.00	$1,922.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,026.75	Facility		$555.00	$597.00	$1,026.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $908.60 / $1,328.39 / $2,996.52	Professional		$908.60	$1,328.39	$2,996.52
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 $771.03 / $1,111.64 / $2,648.35	Professional		$771.03	$1,111.64	$2,648.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,090.00 / $1,090.00 / $4,236.43	Facility		$1,090.00	$1,090.00	$4,236.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $755.67 / $1,177.73 / $2,304.08	Professional		$755.67	$1,177.73	$2,304.08