Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,801.89 / $10,964.78	Facility		$257.04	$3,801.89	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility	50	$8,912.51	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,621.81 / $3,890.45	Professional		$147.91	$1,621.81	$3,890.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	50	$389.05	$389.05	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $5,754.40	Professional		$1,584.89	$1,949.84	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,398.83 / $2,951.21 / $8,511.38	Professional	50	$2,398.83	$2,951.21	$8,511.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,698.24 / $6,165.95	Facility		$199.53	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $2,630.27	Professional		$199.53	$199.53	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $245.47 / $50,118.72	Facility		$34.67	$245.47	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,122.02 / $6,606.93	Professional		$181.97	$1,122.02	$6,606.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $478.63	Facility		$131.83	$165.96	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $3,235.94	Professional		$1,862.09	$2,238.72	$3,235.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,388.44	Professional		$1,445.44	$2,089.30	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $50,118.72 / $75,857.76	Facility		$288.40	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,265.80	Professional		$2,187.76	$2,570.40	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $11,220.18	Facility		$2,137.96	$4,365.16	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,148.15 / $4,265.80	Professional		$125.89	$1,148.15	$4,265.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $154.88 / $316.23	Facility		$117.49	$154.88	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,862.09 / $3,235.94	Professional		$316.23	$1,862.09	$3,235.94