Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $5,224.00 / $11,396.00	Facility		$1,516.00	$5,224.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.37 / $1,364.83 / $2,162.86	Professional		$1,013.37	$1,364.83	$2,162.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,034.58 / $1,034.58 / $1,034.58	Professional		$1,034.58	$1,034.58	$1,034.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,217.00 / $5,196.00 / $11,909.00	Facility		$3,217.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.46 / $1,191.44 / $2,655.12	Professional		$919.46	$1,191.44	$2,655.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,602.93 / $2,644.00 / $12,319.50	Facility		$1,602.93	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,602.93 / $1,602.93 / $1,602.93	Professional		$1,602.93	$1,602.93	$1,602.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,192.43 / $2,879.55	Facility		$332.00	$1,192.43	$2,879.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.74 / $1,535.76 / $2,384.86	Professional		$1,250.74	$1,535.76	$2,384.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $1,083.32 / $2,097.62	Professional		$738.40	$1,083.32	$2,097.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,159.45 / $1,457.98 / $2,871.27	Professional		$1,159.45	$1,457.98	$2,871.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,063.00 / $5,191.00 / $11,098.00	Facility		$2,063.00	$5,191.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.26 / $1,268.33 / $2,896.92	Professional		$954.26	$1,268.33	$2,896.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,550.10 / $1,550.10 / $3,549.60	Facility		$1,550.10	$1,550.10	$3,549.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $1,550.10 / $2,882.24	Professional		$738.40	$1,550.10	$2,882.24