Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $691.83	Facility		$467.74	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $794.33	Professional		$407.38	$549.54	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,202.26	Professional		$562.34	$562.34	$1,202.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $1,202.26	Facility		$85.11	$93.33	$1,202.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $1,202.26	Professional		$93.33	$93.33	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $831.76 / $1,412.54	Facility		$117.49	$831.76	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $575.44 / $3,311.31	Professional		$66.07	$575.44	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,023.29	Professional		$954.99	$954.99	$1,023.29
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 $45.71 / $389.05 / $660.69	Facility		$45.71	$389.05	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $933.25	Professional		$354.81	$562.34	$933.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $954.99	Facility		$660.69	$954.99	$954.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,023.29	Professional		$794.33	$954.99	$1,023.29