Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.68 / $2,952.00 / $8,134.00	Facility		$188.68	$2,952.00	$8,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $215.62 / $417.33	Professional		$115.16	$215.62	$417.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $89.47 / $89.47	Professional		$89.47	$89.47	$89.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $181.83 / $567.00	Professional		$143.93	$181.83	$567.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $237.67 / $237.67 / $6,213.00	Facility		$237.67	$237.67	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $237.67 / $391.41	Professional		$237.67	$237.67	$391.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $165.31 / $165.31	Facility		$165.31	$165.31	$165.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $315.91 / $774.97	Professional		$113.92	$315.91	$774.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $117.75 / $332.00	Facility		$35.00	$117.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.48 / $253.77 / $371.56	Professional		$184.48	$253.77	$371.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $158.41 / $158.41	Facility		$158.41	$158.41	$158.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $228.06 / $362.12	Professional		$155.38	$228.06	$362.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $555.00 / $597.00	Facility		$165.31	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $346.92 / $813.91	Professional		$118.10	$346.92	$813.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,961.00 / $8,312.00	Facility		$1,768.00	$3,961.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.03 / $334.44 / $869.70	Professional		$198.03	$334.44	$869.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.64 / $115.64 / $566.20	Facility		$115.64	$115.64	$566.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $229.68 / $362.12	Professional		$158.41	$229.68	$362.12