Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.11 / $3,659.00 / $9,267.00	Facility		$167.11	$3,659.00	$9,267.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $859.00 / $10,517.90 / $10,517.90	Facility	50	$859.00	$10,517.90	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $188.84 / $403.41	Professional		$112.37	$188.84	$403.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $286.20 / $565.83 / $1,178.00	Professional	50	$286.20	$565.83	$1,178.00
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 $133.77 / $174.87 / $474.07	Professional		$133.77	$174.87	$474.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $200.66 / $262.30 / $717.79	Professional	50	$200.66	$262.30	$717.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $167.71 / $8,917.50	Facility		$167.71	$167.71	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $167.71 / $270.36	Professional		$167.71	$167.71	$270.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.09 / $202.09 / $3,479.91	Facility		$202.09	$202.09	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $273.62 / $643.91	Professional		$126.57	$273.62	$643.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $207.76 / $346.00	Facility		$129.66	$207.76	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.21 / $255.42 / $382.25	Professional		$220.21	$255.42	$382.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $176.15 / $349.86	Professional		$143.82	$176.15	$349.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.09 / $555.00 / $3,479.91	Facility		$202.09	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $277.35 / $647.16	Professional		$144.72	$277.35	$647.16
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 $114.07 / $229.95 / $571.89	Professional		$114.07	$229.95	$571.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.49 / $129.49 / $386.32	Facility		$129.49	$129.49	$386.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $220.50 / $384.27	Professional		$132.35	$220.50	$384.27