Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.33 / $2,626.00 / $7,343.00	Facility		$119.33	$2,626.00	$7,343.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,647.42 / $9,969.75 / $9,969.75	Facility	50	$1,647.42	$9,969.75	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $197.62 / $348.47	Professional		$74.51	$197.62	$348.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.08 / $298.08 / $298.85	Professional	50	$298.08	$298.08	$298.85
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 $141.55 / $243.16 / $486.96	Professional		$141.55	$243.16	$486.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.54 / $364.74 / $741.88	Professional	50	$263.54	$364.74	$741.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $111.71 / $6,213.00	Facility		$111.71	$111.71	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $111.71 / $111.71 / $316.06	Professional		$111.71	$111.71	$316.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $139.86 / $139.86	Facility		$139.86	$139.86	$139.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $235.26 / $635.74	Professional		$89.11	$235.26	$635.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $120.48 / $332.00	Facility		$74.37	$120.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $324.64 / $497.26	Professional		$238.25	$324.64	$497.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.74 / $207.74 / $207.74	Facility		$207.74	$207.74	$207.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $264.22 / $479.91	Professional		$185.32	$264.22	$479.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $555.00 / $36,596.00	Facility		$139.86	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $259.33 / $662.67	Professional		$96.52	$259.33	$662.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $284.19 / $679.48	Professional		$188.00	$284.19	$679.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $95.10 / $144.93	Facility		$95.10	$95.10	$144.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $264.22 / $479.91	Professional		$185.00	$264.22	$479.91