Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $1,000.00	Facility		$331.13	$588.84	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $549.54	Professional		$194.98	$281.84	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $851.14	Facility		$331.13	$331.13	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $630.96	Professional		$131.83	$131.83	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $331.13	Facility		$199.53	$331.13	$331.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $331.13	Professional		$239.88	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $707.95 / $1,174.90	Facility		$218.78	$707.95	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $1,584.89	Professional		$199.53	$416.87	$1,584.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $549.54 / $1,258.93	Facility		$331.13	$549.54	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $630.96	Professional		$229.09	$323.59	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $588.84	Professional		$263.03	$323.59	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $616.60 / $50,118.72	Facility		$426.58	$616.60	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Professional		$331.13	$331.13	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $331.13 / $398.11	Facility		$295.12	$331.13	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $436.52	Professional		$138.04	$199.53	$436.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $426.58	Facility		$281.84	$346.74	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $645.65	Professional		$281.84	$331.13	$645.65