Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $1,412.54	Facility		$398.11	$891.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $457.09	Professional		$281.84	$363.08	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $870.96	Professional		$281.84	$281.84	$870.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $467.74	Professional		$338.84	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,202.26	Facility		$302.00	$1,000.00	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,238.72 / $2,238.72	Professional		$467.74	$2,238.72	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $1,778.28	Facility		$467.74	$776.25	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $912.01	Professional		$489.78	$630.96	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $831.76	Professional		$389.05	$457.09	$831.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $50,118.72	Facility		$602.56	$870.96	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Professional		$467.74	$467.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $562.34	Facility		$416.87	$467.74	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $616.60	Professional		$194.98	$281.84	$616.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $537.03	Facility		$281.84	$467.74	$537.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $933.25	Professional		$389.05	$467.74	$933.25