Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.38 / $91.33 / $606.51	Facility		$55.38	$91.33	$606.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $449.29 / $762.87	Professional		$55.64	$449.29	$762.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $205.74 / $500.00	Professional		$0.02	$205.74	$500.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.45 / $117.45 / $117.45	Facility		$117.45	$117.45	$117.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $117.45 / $117.45	Professional		$117.45	$117.45	$117.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $297.30 / $361.19	Facility		$158.62	$297.30	$361.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.11 / $324.13 / $563.24	Professional		$239.11	$324.13	$563.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.19 / $704.19 / $704.19	Facility		$704.19	$704.19	$704.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.97 / $962.48 / $1,786.31	Professional		$615.97	$962.48	$1,786.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $803.63 / $74,999.25	Facility		$555.00	$803.63	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $318.82 / $630.72	Professional		$188.86	$318.82	$630.72
United Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $224.71 / $703.93	Professional		$82.94	$224.71	$703.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $813.11 / $813.11 / $813.11	Facility		$813.11	$813.11	$813.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $615.97 / $813.11 / $1,786.31	Professional		$615.97	$813.11	$1,786.31