Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,348.96	Facility		$501.19	$660.69	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $660.69	Professional		$501.19	$501.19	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Facility		$501.19	$501.19	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Facility		$380.19	$380.19	$398.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $707.95	Facility		$380.19	$467.74	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $2,041.74	Professional		$501.19	$501.19	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $1,698.24	Facility		$467.74	$588.84	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Professional		$489.78	$489.78	$616.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $512.86	Facility		$478.63	$478.63	$512.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Professional		$478.63	$478.63	$501.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $707.95	Professional		$467.74	$501.19	$707.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $575.44	Facility		$478.63	$478.63	$575.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $575.44	Professional		$478.63	$501.19	$575.44