Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $891.25	Facility		$354.81	$436.52	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $436.52	Professional		$302.00	$363.08	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $141.25	Facility		$128.82	$128.82	$141.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $371.54 / $50,118.72	Facility		$138.04	$371.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $1,995.26	Professional		$371.54	$371.54	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $707.95	Facility		$416.87	$416.87	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $478.63	Professional		$416.87	$416.87	$478.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $407.38	Facility		$371.54	$389.05	$407.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Professional		$371.54	$389.05	$389.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $549.54	Professional		$371.54	$407.38	$549.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $426.58	Facility		$371.54	$389.05	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $371.54 / $467.74	Professional		$26.92	$371.54	$467.74