Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,162.28 / $8,317.64	Facility		$562.34	$3,162.28	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,479.11	Professional		$338.84	$524.81	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $1,230.27	Professional		$436.52	$537.03	$1,230.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,698.24 / $6,165.95	Facility		$501.19	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $707.95	Professional		$501.19	$501.19	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $50,118.72	Facility		$616.60	$616.60	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,819.70	Professional		$389.05	$676.08	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $426.58 / $1,096.48	Facility		$263.03	$426.58	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,230.27	Professional		$616.60	$851.14	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,047.13	Professional		$426.58	$616.60	$1,047.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $50,118.72 / $75,857.76	Facility		$524.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,348.96	Professional		$398.11	$645.65	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,288.25	Professional		$346.74	$549.54	$1,288.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $436.52 / $1,995.26	Facility		$295.12	$436.52	$1,995.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,122.02	Professional		$407.38	$588.84	$1,122.02