Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $1,318.26	Facility		$549.54	$724.44	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $933.25	Professional		$549.54	$549.54	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Facility		$549.54	$549.54	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Facility		$501.19	$501.19	$524.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $954.99	Facility		$512.86	$512.86	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $616.60	Professional		$549.54	$549.54	$616.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $1,778.28	Facility		$489.78	$645.65	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $724.44	Professional		$549.54	$562.34	$724.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Facility		$575.44	$575.44	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $588.84	Professional		$575.44	$588.84	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $50,118.72 / $75,857.76	Facility		$776.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $707.95	Professional		$501.19	$562.34	$707.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $660.69	Facility		$575.44	$575.44	$660.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $588.84	Professional		$575.44	$588.84	$588.84