Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $3,016.00 / $7,307.00	Facility		$149.32	$3,016.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $177.87 / $334.48	Professional		$102.35	$177.87	$334.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.45 / $260.91 / $551.27	Professional	50	$72.45	$260.91	$551.27
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 $167.16 / $207.59 / $458.05	Professional		$167.16	$207.59	$458.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $250.75 / $311.39 / $687.08	Professional	50	$250.75	$311.39	$687.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.04 / $150.04 / $6,213.00	Facility		$150.04	$150.04	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $150.04 / $260.81	Professional		$150.04	$150.04	$260.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $184.52 / $14,648.00	Facility		$184.52	$184.52	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $249.31 / $626.28	Professional		$111.71	$249.31	$626.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $135.19 / $332.00	Facility		$40.00	$135.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $248.27 / $371.55	Professional		$207.76	$248.27	$371.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $201.36 / $341.81	Professional		$147.68	$201.36	$341.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $184.52 / $184.52 / $74,999.25	Facility		$184.52	$184.52	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $260.55 / $626.28	Professional		$132.44	$260.55	$626.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.26 / $226.38 / $505.13	Professional		$152.26	$226.38	$505.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $120.61 / $329.26	Facility		$120.61	$120.61	$329.26
Univera Facility/Professional Facility Modifier 50 Low / Median / High Price $660.73 / $660.73 / $991.10	Facility	50	$660.73	$660.73	$991.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $231.43 / $352.21	Professional		$128.62	$231.43	$352.21
Univera Facility/Professional Professional Modifier 50 Low / Median / High Price $660.73 / $660.73 / $1,595.27	Professional	50	$660.73	$660.73	$1,595.27