Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.78 / $3,094.00 / $10,686.00	Facility		$437.78	$3,094.00	$10,686.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,539.42 / $4,993.77 / $8,325.85	Facility	50	$1,539.42	$4,993.77	$8,325.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,057.93 / $2,341.81	Professional		$284.02	$1,057.93	$2,341.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.45 / $446.84 / $747.39	Professional	50	$436.45	$446.84	$747.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $131.82 / $131.82	Professional		$131.82	$131.82	$131.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,196.00 / $11,909.00	Facility		$3,263.00	$5,196.00	$11,909.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.44 / $1,658.81 / $3,750.99	Professional		$1,258.44	$1,658.81	$3,750.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,905.87 / $2,478.59 / $5,626.48	Professional	50	$1,905.87	$2,478.59	$5,626.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $442.18 / $442.18 / $12,319.50	Facility		$442.18	$442.18	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $442.18 / $442.18 / $2,258.40	Professional		$442.18	$442.18	$2,258.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $7,227.90	Facility		$555.64	$555.64	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.11 / $1,178.33 / $3,999.45	Professional		$331.11	$1,178.33	$3,999.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $450.00 / $883.19	Facility		$332.00	$450.00	$883.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.88 / $2,241.92 / $3,358.16	Professional		$1,653.88	$2,241.92	$3,358.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.19 / $2,131.96 / $3,279.17	Professional		$1,130.19	$2,131.96	$3,279.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.64 / $597.00	Facility		$555.00	$555.64	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $1,721.61 / $4,336.21	Professional		$355.68	$1,721.61	$4,336.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $13,262.00	Facility		$2,337.00	$5,963.00	$13,262.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.79 / $2,006.84 / $4,486.01	Professional		$1,548.79	$2,006.84	$4,486.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $402.76 / $402.76 / $679.76	Facility		$402.76	$402.76	$679.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $804.74 / $1,776.61 / $3,279.17	Professional		$804.74	$1,776.61	$3,279.17