Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $776.25 / $1,230.27	Facility		$346.74	$776.25	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $398.11	Professional		$245.47	$323.59	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $426.58	Professional		$97.72	$97.72	$426.58
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 $295.12 / $407.38 / $407.38	Professional		$295.12	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $870.96 / $1,047.13	Facility		$263.03	$870.96	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,949.84 / $1,949.84	Professional		$407.38	$1,949.84	$1,949.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,548.82	Facility		$407.38	$676.08	$1,548.82
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 $338.84 / $398.11 / $724.44	Professional		$338.84	$398.11	$724.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $50,118.72	Facility		$524.81	$776.25	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Professional		$407.38	$407.38	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $407.38 / $489.78	Facility		$363.08	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $537.03	Professional		$169.82	$245.47	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $467.74	Facility		$245.47	$407.38	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $812.83	Professional		$338.84	$407.38	$812.83