Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $2,660.00 / $9,038.00	Facility		$166.34	$2,660.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $173.53 / $346.71	Professional		$108.52	$173.53	$346.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.74 / $273.74 / $273.74	Professional	50	$273.74	$273.74	$273.74
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 $126.24 / $156.76 / $404.62	Professional		$126.24	$156.76	$404.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $189.36 / $240.10 / $606.92	Professional	50	$189.36	$240.10	$606.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $152.03 / $4,050.00	Facility		$152.03	$152.03	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $230.81	Professional		$152.03	$152.03	$230.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $184.66 / $14,648.00	Facility		$184.66	$184.66	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $229.94 / $568.66	Professional		$121.78	$229.94	$568.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $180.00 / $332.00	Facility		$114.42	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $174.37 / $244.05 / $359.00	Professional		$174.37	$244.05	$359.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.74 / $149.74 / $149.74	Facility		$149.74	$149.74	$149.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $188.31 / $342.04	Professional		$147.36	$188.31	$342.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $555.00 / $36,596.00	Facility		$184.66	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $231.51 / $588.58	Professional		$134.80	$231.51	$588.58
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 $144.58 / $228.25 / $545.88	Professional		$144.58	$228.25	$545.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $125.80 / $311.27	Facility		$125.80	$125.80	$311.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $201.65 / $342.04	Professional		$149.74	$201.65	$342.04