Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $478.63	Facility		$165.96	$165.96	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $288.40	Professional		$162.18	$162.18	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Facility		$165.96	$165.96	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $199.53	Professional		$190.55	$199.53	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $218.78 / $50,118.72	Facility		$199.53	$218.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,047.13	Professional		$218.78	$218.78	$1,047.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $562.34	Facility		$165.96	$245.47	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $245.47	Professional		$154.88	$213.80	$245.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $204.17	Professional		$165.96	$204.17	$204.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $50,118.72 / $75,857.76	Facility		$208.93	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $213.80	Facility		$199.53	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $251.19	Professional		$165.96	$186.21	$251.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $213.80	Facility		$173.78	$204.17	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $245.47	Professional		$165.96	$204.17	$245.47