Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $6,760.83	Facility		$524.81	$1,288.25	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $741.31	Professional		$489.78	$575.44	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $776.25	Professional		$489.78	$575.44	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $50,118.72	Facility		$954.99	$954.99	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $977.24 / $2,884.03	Professional		$436.52	$977.24	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $1,698.24	Facility		$223.87	$707.95	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,288.25	Professional		$676.08	$912.01	$1,288.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $1,288.25	Professional		$79.43	$724.44	$1,288.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50,118.72 / $75,857.76	Facility		$34.67	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $870.96 / $1,071.52	Facility		$758.58	$870.96	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,230.27	Professional		$389.05	$562.34	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $281.84 / $707.95	Facility		$16.22	$281.84	$707.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,412.54	Professional		$79.43	$707.95	$1,412.54