Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,884.03 / $7,413.10	Facility		$199.53	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $426.58	Professional		$123.03	$199.53	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
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 $181.97 / $218.78 / $380.19	Professional		$181.97	$218.78	$380.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $4,073.80	Facility		$177.83	$177.83	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Professional		$177.83	$177.83	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $4,365.16	Facility		$34.67	$213.80	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $645.65	Professional		$134.90	$263.03	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $138.04 / $309.03	Facility		$54.95	$138.04	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $489.78	Professional		$245.47	$309.03	$489.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $426.58	Professional		$158.49	$234.42	$426.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $50,118.72 / $75,857.76	Facility		$131.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $549.54	Professional		$245.47	$380.19	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,511.89 / $4,897.79	Facility		$831.76	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $416.87	Professional		$107.15	$181.97	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $467.74	Facility		$104.71	$151.36	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $416.87	Professional		$158.49	$245.47	$416.87