Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,884.03 / $7,762.47	Facility		$112.20	$2,884.03	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $3,235.94 / $4,466.84	Facility	50	$3,235.94	$3,235.94	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $316.23	Professional		$60.26	$128.82	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $208.93 / $208.93	Professional	50	$134.90	$208.93	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $338.84	Professional		$123.03	$151.36	$338.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $229.09 / $512.86	Professional	50	$186.21	$229.09	$512.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,258.93 / $4,073.80	Facility		$87.10	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $199.53	Professional		$87.10	$87.10	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $50,118.72	Facility		$109.65	$109.65	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $478.63	Professional		$70.79	$165.96	$478.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $234.42	Facility		$70.79	$87.10	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $426.58	Professional		$213.80	$302.00	$426.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $338.84	Professional		$120.23	$204.17	$338.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $50,118.72 / $75,857.76	Facility		$75.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $416.87	Professional		$165.96	$251.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $6,165.95	Facility		$1,621.81	$3,311.31	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $338.84	Professional		$60.26	$134.90	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $74.13 / $363.08	Facility		$52.48	$74.13	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $346.74	Professional		$120.23	$186.21	$346.74