Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.23 / $2,952.00 / $9,038.00	Facility		$91.23	$2,952.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $94.00 / $222.55	Professional		$51.06	$94.00	$222.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $126.14 / $126.14	Professional	50	$126.14	$126.14	$126.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $99.74 / $232.62	Professional		$78.59	$99.74	$232.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.68 / $153.18 / $348.93	Professional	50	$119.68	$153.18	$348.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.79 / $61.79 / $4,050.00	Facility		$61.79	$61.79	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $61.79 / $110.01	Professional		$61.79	$61.79	$110.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $135.47 / $308.42	Professional		$54.29	$135.47	$308.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.79 / $78.75 / $332.00	Facility		$53.79	$78.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $122.99 / $181.05	Professional		$87.33	$122.99	$181.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $100.85 / $171.71	Professional		$68.29	$100.85	$171.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $555.00 / $597.00	Facility		$76.73	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $130.13 / $323.27	Professional		$60.44	$130.13	$323.27
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $105.52 / $261.20	Professional		$64.87	$105.52	$261.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $51.97 / $420.70	Facility		$51.97	$51.97	$420.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $102.82 / $171.71	Professional		$74.98	$102.82	$171.71