Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.02 / $2,626.00 / $7,307.00	Facility		$127.02	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $138.71 / $292.80	Professional		$78.76	$138.71	$292.80
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 $117.86 / $145.19 / $325.38	Professional		$117.86	$145.19	$325.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $176.79 / $218.02 / $488.07	Professional	50	$176.79	$218.02	$488.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.84 / $109.84 / $4,050.00	Facility		$109.84	$109.84	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $109.84 / $191.01	Professional		$109.84	$109.84	$191.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $14,648.00	Facility		$133.72	$133.72	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $179.70 / $451.01	Professional		$90.48	$179.70	$451.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $127.50 / $332.00	Facility		$80.09	$127.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $203.29 / $382.86	Professional		$143.96	$203.29	$382.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.63 / $123.63 / $123.63	Facility		$123.63	$123.63	$123.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $156.37 / $284.02	Professional		$117.26	$156.37	$284.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $555.00 / $597.00	Facility		$133.72	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $180.40 / $459.95	Professional		$96.31	$180.40	$459.95
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 $117.50 / $182.02 / $433.57	Professional		$117.50	$182.02	$433.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $90.79 / $225.79	Facility		$90.79	$90.79	$225.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $167.45 / $284.02	Professional		$123.63	$167.45	$284.02