Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,951.21 / $7,413.10	Facility		$131.83	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $363.08	Professional		$89.13	$131.83	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $575.44 / $831.76	Professional	50	$524.81	$575.44	$831.76
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 $131.83 / $158.49 / $288.40	Professional		$131.83	$158.49	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $234.42 / $436.52	Professional	50	$199.53	$234.42	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $4,073.80	Facility		$141.25	$141.25	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Professional		$141.25	$141.25	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $177.83 / $50,118.72	Facility		$34.67	$177.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $537.03	Professional		$104.71	$173.78	$537.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $302.00	Facility		$75.86	$120.23	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $346.74	Professional		$173.78	$239.88	$346.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $302.00	Professional		$91.20	$186.21	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $50,118.72 / $75,857.76	Facility		$85.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $398.11	Professional		$154.88	$229.09	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $354.81	Professional		$85.11	$147.91	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $380.19	Facility		$85.11	$120.23	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $331.13	Professional		$95.50	$169.82	$331.13