Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $616.60 / $977.24	Facility		$275.42	$616.60	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $354.81	Professional		$213.80	$263.03	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $831.76	Facility		$323.59	$323.59	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $467.74	Professional		$5.89	$5.89	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $323.59	Professional		$234.42	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $691.83 / $831.76	Facility		$208.93	$691.83	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $1,548.82	Professional		$323.59	$467.74	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $1,230.27	Facility		$323.59	$537.03	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $630.96	Professional		$338.84	$436.52	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $575.44	Professional		$275.42	$316.23	$575.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $50,118.72	Facility		$416.87	$602.56	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Professional		$323.59	$323.59	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $323.59 / $389.05	Facility		$288.40	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $436.52	Professional		$134.90	$194.98	$436.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $371.54	Facility		$275.42	$323.59	$371.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $645.65	Professional		$239.88	$323.59	$645.65