Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.69 / $2,900.00 / $7,307.00	Facility		$219.69	$2,900.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,866.14 / $4,866.14 / $4,866.14	Facility	50	$4,866.14	$4,866.14	$4,866.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.77 / $769.31 / $1,891.34	Professional		$150.77	$769.31	$1,891.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $455.94 / $455.94 / $4,900.00	Professional	50	$455.94	$455.94	$4,900.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.94 / $1,008.94 / $2,532.36	Professional		$786.94	$1,008.94	$2,532.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,180.41 / $1,513.41 / $3,739.62	Professional	50	$1,180.41	$1,513.41	$3,739.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.32 / $1,716.00 / $6,213.00	Facility		$207.32	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $207.32 / $1,441.05	Professional		$207.32	$207.32	$1,441.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $252.93 / $10,297.11	Facility		$252.93	$252.93	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $754.37 / $3,169.44	Professional		$176.15	$754.37	$3,169.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $129.21 / $209.42 / $386.89	Facility		$129.21	$209.42	$386.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $936.59 / $1,198.15 / $1,800.32	Professional		$936.59	$1,198.15	$1,800.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.83 / $988.58 / $1,702.41	Professional		$797.83	$988.58	$1,702.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $597.00 / $10,297.11	Facility		$252.93	$597.00	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $208.31 / $1,173.94 / $3,033.60	Professional		$208.31	$1,173.94	$3,033.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.71 / $1,226.50 / $2,801.63	Professional		$823.71	$1,226.50	$2,801.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $161.44 / $221.02	Facility		$161.44	$161.44	$221.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $471.44 / $988.58 / $1,702.41	Professional		$471.44	$988.58	$1,702.41