Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,951.21 / $7,762.47	Facility		$257.04	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $524.81	Professional		$154.88	$251.19	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $630.96	Professional		$204.17	$251.19	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $4,073.80	Facility		$223.87	$223.87	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Professional		$223.87	$223.87	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $50,118.72	Facility		$34.67	$275.42	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $912.01	Professional		$177.83	$323.59	$912.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $588.84	Facility		$162.18	$213.80	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $588.84	Professional		$302.00	$416.87	$588.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $537.03	Professional		$204.17	$331.13	$537.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $50,118.72 / $75,857.76	Facility		$169.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $562.34	Professional		$295.12	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,165.95	Facility		$1,621.81	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $645.65	Professional		$147.91	$251.19	$645.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $691.83	Facility		$131.83	$194.98	$691.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $537.03	Professional		$208.93	$309.03	$537.03