Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.11 / $590.16 / $658.48	Facility		$580.11	$590.16	$658.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.11 / $610.73 / $625.55	Professional		$580.11	$610.73	$625.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.87 / $735.87 / $1,471.74	Facility		$735.87	$735.87	$1,471.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $642.40 / $1,733.26	Professional		$642.40	$642.40	$1,733.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $753.84 / $1,080.45	Facility		$104.64	$753.84	$1,080.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $104.64 / $1,080.45	Professional		$104.64	$104.64	$1,080.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Professional		$293.45	$293.45	$293.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $956.63 / $1,655.71	Facility		$319.00	$956.63	$1,655.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $735.87 / $1,324.57 / $2,045.72	Professional		$735.87	$1,324.57	$2,045.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.30 / $722.72 / $1,061.33	Facility		$717.30	$722.72	$1,061.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.47 / $1,050.82 / $1,127.65	Professional		$724.47	$1,050.82	$1,127.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $293.45 / $1,120.78	Professional		$83.94	$293.45	$1,120.78
United Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $973.14 / $1,488.72	Professional		$311.39	$973.14	$1,488.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.47 / $724.47 / $1,061.33	Facility		$724.47	$724.47	$1,061.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $1,050.82 / $1,127.65	Professional		$106.89	$1,050.82	$1,127.65