Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.22 / $539.64 / $743.18	Facility		$524.22	$539.64	$743.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.98 / $743.18 / $989.34	Professional		$450.98	$743.18	$989.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.28 / $692.28 / $1,224.26	Professional		$692.28	$692.28	$1,224.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $101.95 / $1,325.35	Facility		$101.95	$101.95	$1,325.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $1,325.35	Professional		$101.95	$101.95	$1,325.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $739.60 / $1,177.50	Professional		$81.44	$739.60	$1,177.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $599.59 / $749.49 / $749.49	Professional		$599.59	$749.49	$749.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.49 / $749.49 / $749.49	Facility		$749.49	$749.49	$749.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.49 / $934.08 / $992.46	Professional		$749.49	$934.08	$992.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $74,999.25	Facility		$546.85	$546.85	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $739.60 / $1,177.50	Professional		$81.44	$739.60	$1,177.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $106.03 / $751.40	Professional		$34.01	$106.03	$751.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $934.08 / $934.08 / $934.08	Facility		$934.08	$934.08	$934.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $749.49 / $934.08 / $992.46	Professional		$749.49	$934.08	$992.46