Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,818.38 / $7,413.10	Facility		$107.15	$2,818.38	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $489.78 / $1,258.93	Professional		$64.57	$489.78	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,174.90	Professional		$549.54	$676.08	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $4,073.80	Facility		$91.20	$91.20	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $1,000.00	Professional		$91.20	$91.20	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $112.20 / $7,762.47	Facility		$34.67	$112.20	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $549.54 / $1,778.28	Professional		$74.13	$549.54	$1,778.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $239.88	Facility		$64.57	$83.18	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,584.89	Professional		$794.33	$1,000.00	$1,584.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $794.33 / $1,348.96	Professional		$436.52	$794.33	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $50,118.72 / $75,857.76	Facility		$67.61	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,513.56	Professional		$398.11	$870.96	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $331.13 / $1,096.48	Professional		$57.54	$331.13	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $323.59	Facility		$53.70	$79.43	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $691.83 / $1,202.26	Professional		$186.21	$691.83	$1,202.26