Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $1,148.15	Facility		$269.15	$660.69	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $323.59 / $602.56	Professional		$100.00	$323.59	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,000.00	Facility		$380.19	$380.19	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $588.84	Professional		$151.36	$151.36	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $380.19	Facility		$229.09	$380.19	$380.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $380.19	Professional		$281.84	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $812.83 / $1,380.38	Facility		$245.47	$812.83	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $426.58 / $1,819.70	Professional		$173.78	$426.58	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $501.19 / $1,047.13	Facility		$323.59	$501.19	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $724.44	Professional		$269.15	$323.59	$724.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $380.19 / $831.76	Professional		$162.18	$380.19	$831.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $724.44 / $50,118.72	Facility		$134.90	$724.44	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $380.19 / $457.09	Facility		$346.74	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $478.63	Professional		$91.20	$181.97	$478.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $436.52	Facility		$154.88	$181.97	$436.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $380.19 / $912.01	Professional		$162.18	$380.19	$912.01