Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $707.95 / $1,122.02	Facility		$316.23	$707.95	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $416.87	Professional		$223.87	$302.00	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $436.52	Professional		$131.83	$131.83	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $371.54	Professional		$275.42	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $794.33 / $977.24	Facility		$245.47	$794.33	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,819.70 / $1,819.70	Professional		$371.54	$1,819.70	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,445.44	Facility		$371.54	$616.60	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $724.44	Professional		$398.11	$501.19	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $676.08	Professional		$309.03	$371.54	$676.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $50,118.72	Facility		$489.78	$707.95	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Professional		$371.54	$371.54	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $371.54 / $446.68	Facility		$338.84	$371.54	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $489.78	Professional		$158.49	$223.87	$489.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $436.52	Facility		$223.87	$371.54	$436.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $741.31	Professional		$309.03	$371.54	$741.31