Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,960.00 / $12,051.00	Facility		$1,819.00	$5,960.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $814.65 / $1,139.71	Professional		$648.52	$814.65	$1,139.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,808.00 / $16,411.00	Facility		$4,977.00	$9,808.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.92 / $773.11 / $1,415.09	Professional		$635.92	$773.11	$1,415.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,163.36 / $1,163.36 / $13,944.00	Facility		$1,163.36	$1,163.36	$13,944.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,163.36 / $1,163.36 / $1,163.36	Professional		$1,163.36	$1,163.36	$1,163.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,002.96 / $1,002.96 / $2,907.52	Facility		$1,002.96	$1,002.96	$2,907.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.62 / $1,089.20 / $3,487.63	Professional		$673.62	$1,089.20	$3,487.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,030.97 / $2,324.05	Facility		$332.00	$1,030.97	$2,324.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.91 / $1,182.68 / $1,890.23	Professional		$1,032.91	$1,182.68	$1,890.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.33 / $1,162.60 / $1,871.23	Professional		$721.33	$1,162.60	$1,871.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,002.96 / $74,999.25	Facility		$555.00	$1,002.96	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $674.37 / $674.37 / $2,010.40	Professional		$674.37	$674.37	$2,010.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.95 / $900.65 / $1,880.80	Professional		$695.95	$900.65	$1,880.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,205.94 / $1,205.94 / $1,321.14	Facility		$1,205.94	$1,205.94	$1,321.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $775.74 / $1,223.69 / $2,155.54	Professional		$775.74	$1,223.69	$2,155.54