Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $676.08	Facility		$144.54	$331.13	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $812.83	Professional		$229.09	$263.03	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Facility		$223.87	$223.87	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $50,118.72	Facility		$251.19	$251.19	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $1,230.27	Professional		$251.19	$251.19	$1,230.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $363.08 / $870.96	Facility		$245.47	$363.08	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Professional		$239.88	$239.88	$257.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $50,118.72 / $75,857.76	Facility		$331.13	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Facility		$234.42	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $398.11	Professional		$257.04	$269.15	$398.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $251.19	Facility		$239.88	$239.88	$251.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $288.40	Professional		$125.89	$239.88	$288.40