Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $331.13 / $467.74	Facility		$138.04	$331.13	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $363.08	Professional		$165.96	$213.80	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $831.76	Facility		$416.87	$416.87	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $630.96	Professional		$223.87	$229.09	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $338.84	Facility		$316.23	$338.84	$338.84
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 $234.42 / $660.69 / $50,118.72	Facility		$234.42	$660.69	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $416.87	Professional		$169.82	$169.82	$416.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $1,584.89	Facility		$416.87	$691.83	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $794.33	Professional		$257.04	$436.52	$794.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $275.42	Professional		$245.47	$263.03	$275.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $50,118.72 / $75,857.76	Facility		$588.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $398.11	Professional		$269.15	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $436.52 / $512.86	Facility		$154.88	$436.52	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $354.81	Professional		$134.90	$208.93	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $288.40	Facility		$245.47	$275.42	$288.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $275.42	Professional		$245.47	$263.03	$275.42