Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $912.01 / $1,445.44	Facility		$489.78	$912.01	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $851.14	Professional		$309.03	$436.52	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,348.96	Facility		$512.86	$512.86	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $977.24	Professional		$208.93	$208.93	$977.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $512.86	Facility		$309.03	$512.86	$512.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $512.86	Professional		$380.19	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,096.48 / $1,348.96	Facility		$338.84	$1,096.48	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $660.69 / $2,511.89	Professional		$316.23	$660.69	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $1,412.54	Facility		$436.52	$676.08	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $977.24	Professional		$363.08	$436.52	$977.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $933.25	Professional		$316.23	$489.78	$933.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $977.24 / $50,118.72	Facility		$512.86	$977.24	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $537.03	Professional		$512.86	$512.86	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $512.86 / $616.60	Facility		$467.74	$512.86	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $707.95	Professional		$218.78	$309.03	$707.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $616.60	Facility		$316.23	$380.19	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $933.25	Professional		$316.23	$489.78	$933.25