Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.88 / $1,005.44 / $1,005.44	Facility		$680.88	$1,005.44	$1,005.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.15 / $896.80 / $1,248.28	Professional		$549.15	$896.80	$1,248.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.49 / $560.10 / $1,181.81	Professional		$498.49	$560.10	$1,181.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $143.69 / $1,867.97	Facility		$143.69	$143.69	$1,867.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $143.69 / $1,867.97	Professional		$143.69	$143.69	$1,867.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.06 / $1,045.06 / $1,045.06	Facility		$1,045.06	$1,045.06	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $83.31	Professional		$24.99	$24.99	$83.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $101.00 / $101.00	Professional		$80.80	$101.00	$101.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $162.61 / $1,594.24	Professional		$101.00	$162.61	$1,594.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,045.06 / $74,999.25	Facility		$555.00	$1,045.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $183.87	Professional		$24.99	$24.99	$183.87
United Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $103.99 / $654.29	Professional		$40.98	$103.99	$654.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $1,626.12 / $1,626.12	Facility		$62.00	$1,626.12	$1,626.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $172.78 / $1,626.12	Professional		$101.00	$172.78	$1,626.12