Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,884.03 / $7,762.47	Facility		$186.21	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $371.54	Professional		$128.82	$173.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $323.59	Professional		$141.25	$165.96	$323.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,258.93 / $4,073.80	Facility		$190.55	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $245.47	Professional		$190.55	$190.55	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $3,801.89	Facility		$229.09	$229.09	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $588.84	Professional		$131.83	$234.42	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $407.38	Facility		$100.00	$158.49	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $416.87	Professional		$208.93	$263.03	$416.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $363.08	Professional		$131.83	$223.87	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $446.68	Professional		$213.80	$338.84	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $4,897.79	Facility		$851.14	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $380.19	Professional		$109.65	$165.96	$380.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $501.19	Facility		$109.65	$162.18	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $389.05	Professional		$138.04	$204.17	$389.05