Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,548.82	Facility		$575.44	$758.58	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $707.95	Professional		$575.44	$575.44	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $602.56	Facility		$575.44	$575.44	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $512.86	Facility		$467.74	$467.74	$512.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $537.03 / $794.33	Facility		$501.19	$537.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $2,454.71	Professional		$575.44	$575.44	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $2,041.74	Facility		$562.34	$707.95	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,096.48	Professional		$602.56	$602.56	$1,096.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $602.56	Facility		$575.44	$575.44	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Professional		$575.44	$575.44	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $933.25	Professional		$524.81	$575.44	$933.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $676.08	Facility		$575.44	$575.44	$676.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $691.83	Professional		$575.44	$588.84	$691.83