Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $2,836.00 / $7,307.00	Facility		$214.41	$2,836.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $198.69 / $399.18	Professional		$167.79	$198.69	$399.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.64 / $218.64 / $218.64	Professional		$218.64	$218.64	$218.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $202.78 / $444.71	Professional		$155.50	$202.78	$444.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $265.17 / $265.17 / $6,213.00	Facility		$265.17	$265.17	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $263.26 / $263.26 / $265.17	Professional		$263.26	$263.26	$265.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $14,648.00	Facility		$222.44	$222.44	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.05 / $275.44 / $705.64	Professional		$185.05	$275.44	$705.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $242.79 / $531.45	Facility		$110.00	$242.79	$531.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.27 / $304.36 / $449.11	Professional		$214.27	$304.36	$449.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $184.00 / $184.00	Facility		$184.00	$184.00	$184.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $234.01 / $412.81	Professional		$144.21	$234.01	$412.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $555.00 / $597.00	Facility		$222.44	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $185.05 / $276.92 / $676.35	Professional		$185.05	$276.92	$676.35
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $239.56 / $623.36	Professional		$164.14	$239.56	$623.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.78 / $236.78 / $747.42	Facility		$236.78	$236.78	$747.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $256.42 / $490.13	Professional		$157.71	$256.42	$490.13