Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $2,626.00 / $7,095.00	Facility		$89.96	$2,626.00	$7,095.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,141.55 / $4,141.55 / $6,413.36	Facility	50	$4,141.55	$4,141.55	$6,413.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $122.20 / $274.27	Professional		$60.54	$122.20	$274.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $625.00 / $625.00 / $625.00	Professional	50	$625.00	$625.00	$625.00
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 $84.59 / $106.31 / $278.44	Professional		$84.59	$106.31	$278.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $126.89 / $161.16 / $425.04	Professional	50	$126.89	$161.16	$425.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $1,254.00 / $4,050.00	Facility		$88.28	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $88.28 / $191.88	Professional		$88.28	$88.28	$191.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $14,648.00	Facility		$105.08	$105.08	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $151.16 / $387.87	Professional		$68.01	$151.16	$387.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $103.41 / $332.00	Facility		$72.12	$103.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $201.45 / $295.62	Professional		$144.66	$201.45	$295.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.23 / $124.23 / $124.23	Facility		$124.23	$124.23	$124.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $132.97 / $284.14	Professional		$105.49	$132.97	$284.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $555.00 / $597.00	Facility		$105.08	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $169.57 / $393.90	Professional		$76.59	$169.57	$393.90
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 $110.74 / $171.35 / $399.99	Professional		$110.74	$171.35	$399.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.92 / $70.92 / $379.99	Facility		$70.92	$70.92	$379.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $163.79 / $284.14	Professional		$124.23	$163.79	$284.14