Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $2,902.00 / $7,563.00	Facility		$409.90	$2,902.00	$7,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $402.45 / $736.43	Professional		$227.21	$402.45	$736.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $515.21 / $721.29	Professional	50	$300.00	$515.21	$721.29
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 $335.99 / $417.24 / $995.59	Professional		$335.99	$417.24	$995.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $503.99 / $639.04 / $1,501.27	Professional	50	$503.99	$639.04	$1,501.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $354.12 / $354.12 / $4,050.00	Facility		$354.12	$354.12	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $354.12 / $354.12 / $626.27	Professional		$354.12	$354.12	$626.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $421.80 / $14,648.00	Facility		$222.28	$421.80	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.96 / $439.70 / $978.16	Professional		$230.96	$439.70	$978.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $262.00 / $322.30 / $638.03	Facility		$262.00	$322.30	$638.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $473.01 / $572.97 / $900.24	Professional		$473.01	$572.97	$900.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.47 / $395.15 / $795.20	Professional		$248.47	$395.15	$795.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.28 / $555.00 / $74,999.25	Facility		$222.28	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $527.55 / $1,134.08	Professional		$293.52	$527.55	$1,134.08
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.35 / $498.45 / $975.27	Professional		$361.35	$498.45	$975.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $343.88 / $343.88 / $837.03	Facility		$343.88	$343.88	$837.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $248.47 / $440.46 / $911.82	Professional		$248.47	$440.46	$911.82