Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $724.44 / $1,148.15	Facility		$323.59	$724.44	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $416.87	Professional		$229.09	$302.00	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $977.24	Facility		$380.19	$380.19	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,258.93 / $1,819.70	Professional		$575.44	$1,258.93	$1,819.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $380.19	Professional		$275.42	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $812.83 / $977.24	Facility		$245.47	$812.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,819.70	Professional		$380.19	$549.54	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,445.44	Facility		$380.19	$630.96	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $741.31	Professional		$398.11	$512.86	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $676.08	Professional		$302.00	$371.54	$676.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $50,118.72	Facility		$489.78	$724.44	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $389.05	Professional		$380.19	$380.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $380.19 / $457.09	Facility		$338.84	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $501.19	Professional		$158.49	$229.09	$501.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $436.52	Facility		$229.09	$380.19	$436.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $758.58	Professional		$302.00	$380.19	$758.58