Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $1,380.38	Facility		$512.86	$676.08	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $870.96	Professional		$512.86	$512.86	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $537.03	Facility		$512.86	$512.86	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Facility		$407.38	$407.38	$436.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $489.78 / $724.44	Facility		$426.58	$489.78	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $2,137.96	Professional		$512.86	$512.86	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $1,737.80	Facility		$489.78	$630.96	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $645.65	Professional		$562.34	$562.34	$645.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $537.03	Facility		$512.86	$512.86	$537.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $50,118.72 / $75,857.76	Facility		$645.65	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $724.44	Professional		$489.78	$512.86	$724.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $588.84	Facility		$512.86	$512.86	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $616.60	Professional		$363.08	$512.86	$616.60