Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.90 / $2,842.00 / $7,521.00	Facility		$92.90	$2,842.00	$7,521.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $136.50 / $205.48	Professional		$50.51	$136.50	$205.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $133.35 / $292.05	Professional		$97.85	$133.35	$292.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $146.77 / $198.87 / $438.07	Professional	50	$146.77	$198.87	$438.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $53.64 / $53.64	Facility		$53.64	$53.64	$53.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $53.64 / $161.07	Professional		$53.64	$53.64	$161.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $14,648.00	Facility		$65.34	$65.34	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $127.71 / $333.96	Professional		$46.41	$127.71	$333.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $57.93 / $332.00	Facility		$35.00	$57.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $154.18 / $233.05	Professional		$105.71	$154.18	$233.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $135.21 / $198.54	Professional		$99.54	$135.21	$198.54
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $96.99 / $96.99	Professional		$95.02	$96.99	$96.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $555.00 / $74,999.25	Facility		$65.34	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $142.53 / $349.39	Professional		$63.00	$142.53	$349.39
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 $101.01 / $136.47 / $316.62	Professional		$101.01	$136.47	$316.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $47.31 / $219.49	Facility		$47.31	$47.31	$219.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $145.62 / $219.49	Professional		$93.07	$145.62	$219.49