Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $18,620.87	Facility		$269.15	$338.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $426.58	Professional		$199.53	$281.84	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Facility		$169.82	$169.82	$177.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $50,118.72	Facility		$181.97	$288.40	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $1,513.56	Professional		$288.40	$288.40	$1,513.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $147.91 / $338.84	Facility		$83.18	$147.91	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $147.91	Professional		$83.18	$83.18	$147.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $165.96	Facility		$83.18	$165.96	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $165.96	Professional		$83.18	$85.11	$165.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $288.40 / $407.38	Professional		$281.84	$288.40	$407.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $173.78	Facility		$83.18	$131.83	$173.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $199.53	Professional		$83.18	$85.11	$199.53