Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $269.15 / $380.19	Facility		$123.03	$269.15	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $316.23	Professional		$125.89	$239.88	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $660.69	Facility		$331.13	$331.13	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $478.63	Professional		$93.33	$123.03	$478.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Facility		$194.98	$194.98	$275.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $53,703.18	Facility		$537.03	$537.03	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $1,621.81	Professional		$151.36	$151.36	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,318.26	Facility		$338.84	$562.34	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $954.99	Professional		$302.00	$616.60	$954.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Facility		$141.25	$141.25	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $204.17	Professional		$169.82	$190.55	$204.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $50,118.72 / $75,857.76	Facility		$302.00	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $281.84 / $512.86	Professional		$109.65	$281.84	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $190.55	Facility		$141.25	$190.55	$190.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $204.17	Professional		$141.25	$190.55	$204.17