Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,548.82 / $2,187.76	Facility		$707.95	$1,548.82	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,698.24	Professional		$776.25	$1,023.29	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,981.07	Facility		$1,995.26	$1,995.26	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $3,090.30	Professional		$1,174.90	$1,202.26	$3,090.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,621.81	Facility		$1,513.56	$1,621.81	$1,621.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $50,118.72	Facility		$1,230.27	$3,467.37	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,949.84	Professional		$891.25	$891.25	$1,949.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $7,585.78	Facility		$1,995.26	$3,235.94	$7,585.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,801.89	Professional		$1,230.27	$2,187.76	$3,801.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,122.02	Facility		$1,071.52	$1,071.52	$1,122.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,230.27	Professional		$1,071.52	$1,174.90	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $50,118.72 / $75,857.76	Facility		$2,290.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $1,905.46	Professional		$1,288.25	$1,905.46	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $2,630.27	Facility		$794.33	$1,513.56	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,621.81	Professional		$645.65	$1,047.13	$1,621.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,202.26	Facility		$1,071.52	$1,174.90	$1,202.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,230.27	Professional		$1,071.52	$1,174.90	$1,230.27