Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $371.54	Facility		$363.08	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $724.44	Professional		$407.38	$549.54	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,778.28	Facility		$676.08	$676.08	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $741.31	Professional		$77.62	$77.62	$741.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $676.08	Professional		$501.19	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,445.44 / $1,778.28	Facility		$446.68	$1,445.44	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $3,311.31	Professional		$676.08	$1,000.00	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,023.29 / $2,630.27	Facility		$676.08	$1,023.29	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,318.26	Professional		$724.44	$912.01	$1,318.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,230.27	Professional		$549.54	$660.69	$1,230.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $50,118.72	Facility		$891.25	$1,288.25	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Professional		$676.08	$676.08	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $676.08 / $812.83	Facility		$616.60	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $891.25	Professional		$288.40	$407.38	$891.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $776.25	Facility		$407.38	$676.08	$776.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,348.96	Professional		$549.54	$676.08	$1,348.96