Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.34 / $5,157.00 / $11,671.00	Facility		$1,212.34	$5,157.00	$11,671.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.07 / $929.45 / $1,736.03	Professional		$811.07	$929.45	$1,736.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $807.56 / $807.56 / $807.56	Professional		$807.56	$807.56	$807.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,168.00	Facility		$3,283.00	$5,434.00	$12,168.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.70 / $957.79 / $2,240.56	Professional		$732.70	$957.79	$2,240.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,259.77 / $1,259.77 / $37,499.62	Facility		$1,259.77	$1,259.77	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,259.77 / $1,259.77 / $1,259.77	Professional		$1,259.77	$1,259.77	$1,259.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.63 / $1,009.63 / $1,009.63	Facility		$1,009.63	$1,009.63	$1,009.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.82 / $1,427.20 / $3,368.89	Professional		$891.82	$1,427.20	$3,368.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,504.00 / $2,705.60	Facility		$332.00	$1,504.00	$2,705.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $970.79 / $1,378.28 / $2,037.44	Professional		$970.79	$1,378.28	$2,037.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.66 / $833.66 / $833.66	Facility		$833.66	$833.66	$833.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.32 / $1,063.70 / $1,876.40	Professional		$723.32	$1,063.70	$1,876.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $1,009.63	Facility		$555.00	$597.00	$1,009.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $1,436.76 / $3,149.03	Professional		$926.78	$1,436.76	$3,149.03
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 $819.23 / $1,177.64 / $2,868.23	Professional		$819.23	$1,177.64	$2,868.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,063.70 / $1,063.70 / $5,103.38	Facility		$1,063.70	$1,063.70	$5,103.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $826.55 / $1,161.79 / $2,248.50	Professional		$826.55	$1,161.79	$2,248.50