Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $912.01 / $1,445.44	Facility		$407.38	$912.01	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $323.59 / $457.09	Professional		$123.03	$323.59	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $501.19	Professional		$109.65	$109.65	$501.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $478.63	Professional		$354.81	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $776.25	Facility		$316.23	$537.03	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,862.09 / $2,344.23	Professional		$478.63	$1,862.09	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $1,862.09	Facility		$478.63	$794.33	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $933.25	Professional		$501.19	$645.65	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $851.14	Professional		$234.42	$457.09	$851.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $50,118.72	Facility		$630.96	$912.01	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Professional		$478.63	$478.63	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $478.63 / $575.44	Facility		$436.52	$478.63	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $331.13	Professional		$87.10	$123.03	$331.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $549.54	Facility		$288.40	$478.63	$549.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $954.99	Professional		$288.40	$478.63	$954.99