Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $1,071.52	Facility		$467.74	$630.96	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $794.33	Professional		$467.74	$467.74	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Facility		$467.74	$467.74	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Facility		$338.84	$338.84	$354.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $933.25	Facility		$436.52	$436.52	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,995.26	Professional		$467.74	$467.74	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $1,584.89	Facility		$446.68	$575.44	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $851.14	Professional		$512.86	$512.86	$851.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Facility		$478.63	$478.63	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $489.78	Professional		$478.63	$478.63	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $812.83	Professional		$467.74	$489.78	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $562.34	Facility		$478.63	$478.63	$562.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $478.63 / $575.44	Professional		$181.97	$478.63	$575.44