Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $2,559.00 / $7,227.91	Facility		$104.90	$2,559.00	$7,227.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,475.15 / $10,475.15 / $10,475.15	Facility	50	$10,475.15	$10,475.15	$10,475.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $187.41 / $477.59	Professional		$76.48	$187.41	$477.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.77 / $297.12 / $716.39	Professional	50	$112.77	$297.12	$716.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.91 / $266.13 / $554.46	Professional		$212.91	$266.13	$554.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $319.36 / $399.20 / $831.69	Professional	50	$319.36	$399.20	$831.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.21 / $1,254.00 / $4,050.00	Facility		$109.21	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $109.21 / $348.89	Professional		$109.21	$109.21	$348.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $132.94 / $3,479.91	Facility		$132.94	$132.94	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $257.39 / $731.19	Professional		$85.55	$257.39	$731.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $103.80 / $332.00	Facility		$60.00	$103.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.76 / $322.31 / $690.93	Professional		$251.76	$322.31	$690.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $262.38 / $445.39	Professional		$159.16	$262.38	$445.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $555.00 / $3,479.91	Facility		$132.94	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $296.10 / $731.19	Professional		$102.25	$296.10	$731.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $285.68 / $685.55	Professional		$192.98	$285.68	$685.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.01 / $83.01 / $281.57	Facility		$83.01	$83.01	$281.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $262.38 / $486.65	Professional		$159.16	$262.38	$486.65