Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.87 / $3,016.00 / $8,442.00	Facility		$184.87	$3,016.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $216.27 / $462.05	Professional		$127.64	$216.27	$462.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.00 / $90.00 / $693.08	Professional	50	$90.00	$90.00	$693.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.61 / $247.10 / $541.79	Professional		$196.61	$247.10	$541.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $294.91 / $366.23 / $812.70	Professional	50	$294.91	$366.23	$812.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.20 / $190.20 / $6,213.00	Facility		$190.20	$190.20	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $190.20 / $307.18	Professional		$190.20	$190.20	$307.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $226.63 / $7,227.90	Facility		$226.63	$226.63	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $311.23 / $729.04	Professional		$144.06	$311.23	$729.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $166.01 / $357.32	Facility		$60.00	$166.01	$357.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $248.08 / $287.54 / $430.31	Professional		$248.08	$287.54	$430.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $198.86 / $395.80	Professional		$167.55	$198.86	$395.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $555.00 / $7,227.90	Facility		$226.63	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $314.57 / $743.21	Professional		$159.24	$314.57	$743.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $259.04 / $592.22	Professional		$128.41	$259.04	$592.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $146.38 / $146.38 / $445.14	Facility		$146.38	$146.38	$445.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $248.22 / $434.73	Professional		$167.55	$248.22	$434.73