Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.78 / $3,951.00 / $10,475.15	Facility		$375.78	$3,951.00	$10,475.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $437.37 / $867.31	Professional		$283.87	$437.37	$867.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $534.04 / $534.04 / $534.04	Professional		$534.04	$534.04	$534.04
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 $363.22 / $461.31 / $999.22	Professional		$363.22	$461.31	$999.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $394.14 / $2,390.00 / $10,957.50	Facility		$394.14	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $394.14 / $394.14 / $603.26	Professional		$394.14	$394.14	$603.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $478.20 / $478.20	Facility		$478.20	$478.20	$478.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.44 / $545.59 / $1,329.93	Professional		$301.44	$545.59	$1,329.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $298.47 / $525.00 / $1,054.44	Facility		$298.47	$525.00	$1,054.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $453.14 / $625.55 / $916.38	Professional		$453.14	$625.55	$916.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.13 / $389.13 / $389.13	Facility		$389.13	$389.13	$389.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.81 / $502.93 / $887.18	Professional		$356.81	$502.93	$887.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $555.00 / $597.00	Facility		$478.20	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $327.07 / $577.46 / $1,340.66	Professional		$327.07	$577.46	$1,340.66
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 $382.88 / $540.12 / $1,336.84	Professional		$382.88	$540.12	$1,336.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $340.24 / $340.24 / $1,478.55	Facility		$340.24	$340.24	$1,478.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $368.74 / $542.29 / $887.18	Professional		$368.74	$542.29	$887.18