Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $1,513.56	Facility		$416.87	$831.76	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $457.09	Professional		$165.96	$165.96	$457.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $35.48	Facility		$20.89	$35.48	$35.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $35.48	Professional		$25.70	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $1,513.56	Facility		$269.15	$660.69	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,995.26	Professional		$416.87	$549.54	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $1,148.15	Facility		$416.87	$537.03	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $794.33	Professional		$295.12	$457.09	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $741.31	Professional		$346.74	$407.38	$741.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $50,118.72	Facility		$416.87	$794.33	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $426.58	Professional		$416.87	$416.87	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $501.19	Facility		$371.54	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $588.84	Professional		$165.96	$251.19	$588.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $478.63	Facility		$251.19	$416.87	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $831.76	Professional		$346.74	$416.87	$831.76