Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $954.99	Facility		$354.81	$467.74	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Professional		$354.81	$354.81	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Facility		$354.81	$354.81	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $331.13	Facility		$309.03	$309.03	$331.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $512.86	Facility		$331.13	$331.13	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,479.11	Professional		$354.81	$354.81	$1,479.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $426.58 / $1,202.26	Facility		$331.13	$426.58	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $446.68	Professional		$354.81	$354.81	$446.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Facility		$346.74	$346.74	$363.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Professional		$346.74	$346.74	$354.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $50,118.72 / $75,857.76	Facility		$446.68	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $512.86	Professional		$338.84	$354.81	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $398.11	Facility		$346.74	$346.74	$398.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $416.87	Professional		$346.74	$354.81	$416.87