Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $954.99 / $1,621.81	Facility		$501.19	$954.99	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $758.58	Professional		$275.42	$407.38	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,318.26	Facility		$501.19	$501.19	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $1,174.90	Professional		$199.53	$199.53	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $501.19	Facility		$302.00	$501.19	$501.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $501.19	Professional		$371.54	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,071.52 / $1,445.44	Facility		$338.84	$1,071.52	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $2,454.71	Professional		$302.00	$616.60	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,949.84	Facility		$501.19	$831.76	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $912.01	Professional		$251.19	$354.81	$912.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $891.25	Professional		$338.84	$478.63	$891.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $50,118.72	Facility		$660.69	$954.99	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Professional		$501.19	$501.19	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $602.56	Facility		$275.42	$457.09	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $630.96	Professional		$213.80	$302.00	$630.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $537.03 / $537.03	Facility		$426.58	$537.03	$537.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $1,000.00	Professional		$338.84	$478.63	$1,000.00