Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $1,202.26	Facility		$416.87	$467.74	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $575.44	Professional		$239.88	$407.38	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,995.26	Facility		$1,905.46	$1,905.46	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $645.65	Professional		$0.02	$0.03	$645.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $338.84 / $50,118.72	Facility		$295.12	$338.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,698.24	Professional		$338.84	$338.84	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $56.23	Professional		$47.86	$56.23	$56.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $912.01	Professional		$676.08	$676.08	$912.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44