Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.79 / $4,308.00 / $10,024.00	Facility		$791.79	$4,308.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.54 / $607.44 / $1,211.67	Professional		$532.54	$607.44	$1,211.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.88 / $386.41 / $758.27	Professional		$259.88	$386.41	$758.27
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 $461.82 / $603.69 / $1,382.66	Professional		$461.82	$603.69	$1,382.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $813.57 / $1,990.00 / $8,917.50	Facility		$813.57	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $813.57 / $813.57 / $813.57	Professional		$813.57	$813.57	$813.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $651.29 / $651.29	Facility		$651.29	$651.29	$651.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.67 / $894.78 / $2,053.15	Professional		$564.67	$894.78	$2,053.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $504.00 / $1,470.49	Facility		$315.00	$504.00	$1,470.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $631.25 / $861.75 / $1,261.34	Professional		$631.25	$861.75	$1,261.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $542.08 / $542.08	Facility		$542.08	$542.08	$542.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.15 / $691.25 / $1,221.03	Professional		$473.15	$691.25	$1,221.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $651.29	Facility		$555.00	$597.00	$651.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $588.20 / $865.64 / $1,933.81	Professional		$588.20	$865.64	$1,933.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,416.00	Facility		$2,031.00	$4,840.00	$9,416.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.10 / $730.16 / $1,780.43	Professional		$521.10	$730.16	$1,780.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $692.18 / $692.18 / $2,797.96	Facility		$692.18	$692.18	$2,797.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $530.34 / $719.87 / $1,463.16	Professional		$530.34	$719.87	$1,463.16