Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.53 / $3,621.00 / $11,150.00	Facility		$414.53	$3,621.00	$11,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.67 / $1,163.24 / $2,001.80	Professional		$333.67	$1,163.24	$2,001.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.17 / $447.17 / $447.17	Professional		$447.17	$447.17	$447.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.24 / $1,233.31 / $2,932.97	Professional		$902.24	$1,233.31	$2,932.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $440.18 / $1,990.00 / $8,917.50	Facility		$440.18	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $440.18 / $440.18 / $1,938.90	Professional		$440.18	$440.18	$1,938.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.96 / $525.96 / $5,246.94	Facility		$525.96	$525.96	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.87 / $1,044.08 / $2,881.03	Professional		$270.87	$1,044.08	$2,881.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $394.00 / $817.76	Facility		$319.00	$394.00	$817.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.22 / $1,586.16 / $2,393.51	Professional		$1,223.22	$1,586.16	$2,393.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $944.92 / $1,223.22 / $2,116.62	Professional		$944.92	$1,223.22	$2,116.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $525.96 / $597.00 / $74,999.25	Facility		$525.96	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.61 / $1,453.09 / $3,280.36	Professional		$346.61	$1,453.09	$3,280.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.35 / $1,717.19 / $4,200.16	Professional		$1,204.35	$1,717.19	$4,200.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $391.62 / $391.62 / $1,176.19	Facility		$391.62	$391.62	$1,176.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $782.48 / $1,394.50 / $2,448.78	Professional		$782.48	$1,394.50	$2,448.78