Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $776.25 / $1,230.27	Facility		$371.54	$776.25	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $398.11	Professional		$269.15	$331.13	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,071.52	Facility		$407.38	$407.38	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $588.84	Professional		$81.28	$81.28	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $407.38	Professional		$302.00	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $870.96 / $1,071.52	Facility		$269.15	$870.96	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,995.26	Professional		$407.38	$602.56	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,584.89	Facility		$407.38	$676.08	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $794.33	Professional		$426.58	$549.54	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $724.44	Professional		$346.74	$407.38	$724.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $50,118.72	Facility		$537.03	$776.25	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $467.74	Professional		$407.38	$407.38	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $407.38 / $489.78	Facility		$371.54	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $562.34	Professional		$173.78	$245.47	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $467.74	Facility		$346.74	$407.38	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $812.83	Professional		$309.03	$407.38	$812.83