Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $363.08 / $724.44	Facility		$295.12	$363.08	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $363.08	Professional		$295.12	$302.00	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $331.13 / $50,118.72	Facility		$309.03	$331.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $630.96	Facility		$309.03	$309.03	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $309.03	Professional		$263.03	$309.03	$309.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
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 $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03