Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $562.34 / $1,000.00	Facility		$416.87	$562.34	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $707.95	Professional		$416.87	$416.87	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Facility		$416.87	$416.87	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $436.52	Facility		$416.87	$416.87	$436.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Facility		$398.11	$398.11	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,819.70	Professional		$416.87	$416.87	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $870.96	Facility		$245.47	$316.23	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $467.74	Professional		$281.84	$281.84	$467.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Facility		$436.52	$436.52	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $446.68	Professional		$436.52	$436.52	$446.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $50,118.72 / $75,857.76	Facility		$562.34	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $602.56	Professional		$416.87	$416.87	$602.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $512.86	Facility		$436.52	$436.52	$512.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $436.52 / $512.86	Professional		$57.54	$436.52	$512.86