Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.31 / $4,392.00 / $10,024.00	Facility		$1,103.31	$4,392.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.03 / $920.40 / $1,776.31	Professional		$804.03	$920.40	$1,776.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $864.39 / $864.39 / $864.39	Professional		$864.39	$864.39	$864.39
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 $720.46 / $941.79 / $2,165.48	Professional		$720.46	$941.79	$2,165.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,246.53 / $1,990.00 / $8,917.50	Facility		$1,246.53	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,246.53 / $1,246.53 / $1,246.53	Professional		$1,246.53	$1,246.53	$1,246.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.62 / $1,003.62 / $1,003.62	Facility		$1,003.62	$1,003.62	$1,003.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.51 / $1,329.01 / $3,328.00	Professional		$880.51	$1,329.01	$3,328.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,215.00 / $2,364.91	Facility		$332.00	$1,215.00	$2,364.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $967.60 / $1,373.03 / $2,028.57	Professional		$967.60	$1,373.03	$2,028.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.91 / $830.91 / $830.91	Facility		$830.91	$830.91	$830.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.21 / $901.51 / $1,870.93	Professional		$721.21	$901.51	$1,870.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,003.62	Facility		$555.00	$597.00	$1,003.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $913.35 / $1,329.01 / $3,078.38	Professional		$913.35	$1,329.01	$3,078.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $14,457.00	Facility		$2,264.00	$5,963.00	$14,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.36 / $1,145.40 / $2,871.96	Professional		$789.36	$1,145.40	$2,871.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,060.59 / $1,060.59 / $4,037.92	Facility		$1,060.59	$1,060.59	$4,037.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $748.08 / $1,157.96 / $2,241.94	Professional		$748.08	$1,157.96	$2,241.94