Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.01 / $1,056.78 / $11,006.69	Facility		$847.01	$1,056.78	$11,006.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.58 / $924.12 / $1,192.01	Professional		$753.58	$924.12	$1,192.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.70 / $977.70 / $977.70	Professional		$977.70	$977.70	$977.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.24 / $1,434.40 / $2,022.04	Professional		$926.24	$1,434.40	$2,022.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,171.79 / $1,171.79 / $1,171.79	Facility		$1,171.79	$1,171.79	$1,171.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,171.79 / $1,171.79 / $1,171.79	Professional		$1,171.79	$1,171.79	$1,171.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.05 / $995.05 / $995.05	Facility		$995.05	$995.05	$995.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.38 / $1,171.05 / $3,353.41	Professional		$628.38	$1,171.05	$3,353.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $227.97 / $346.00 / $2,219.02	Facility		$227.97	$346.00	$2,219.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $890.27 / $1,203.20 / $1,706.18	Professional		$890.27	$1,203.20	$1,706.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $25.19 / $25.19	Facility		$25.19	$25.19	$25.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $993.05 / $1,695.12	Professional		$103.45	$993.05	$1,695.12
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $109.70 / $109.70	Professional		$73.14	$109.70	$109.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $995.05 / $995.05	Facility		$555.00	$995.05	$995.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.16 / $628.38 / $2,742.70	Professional		$364.16	$628.38	$2,742.70
United Facility/Professional Professional Modifier Low / Median / High Price $435.77 / $730.67 / $1,594.20	Professional		$435.77	$730.67	$1,594.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $678.31 / $934.52 / $934.52	Facility		$678.31	$934.52	$934.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $435.10 / $1,041.81 / $2,031.27	Professional		$435.10	$1,041.81	$2,031.27