Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,019.95 / $7,762.47	Facility		$173.78	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $380.19	Professional		$102.33	$177.83	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $263.03 / $549.54	Professional	50	$72.44	$263.03	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $467.74	Professional		$165.96	$208.93	$467.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $309.03 / $707.95	Professional	50	$251.19	$309.03	$707.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $6,165.95	Facility		$151.36	$151.36	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $263.03	Professional		$151.36	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $186.21 / $53,703.18	Facility		$34.67	$186.21	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $691.83	Professional		$120.23	$263.03	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $117.49 / $269.15	Facility		$39.81	$117.49	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $380.19	Professional		$199.53	$269.15	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $398.11	Professional		$147.91	$239.88	$398.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $50,118.72 / $75,857.76	Facility		$107.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $398.11	Professional		$223.87	$269.15	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $426.58	Professional		$91.20	$165.96	$426.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $120.23 / $331.13	Facility		$91.20	$120.23	$331.13
Univera Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $660.69 / $2,398.83	Facility	50	$660.69	$660.69	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $371.54	Professional		$147.91	$213.80	$371.54
Univera Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $1,071.52 / $1,995.26	Professional	50	$354.81	$1,071.52	$1,995.26