Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $676.08 / $954.99	Facility		$281.84	$676.08	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $724.44	Professional		$323.59	$407.38	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,698.24	Facility		$851.14	$851.14	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,412.54	Professional		$436.52	$436.52	$1,412.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Facility		$645.65	$691.83	$691.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $50,118.72	Facility		$512.86	$1,288.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $831.76	Professional		$371.54	$371.54	$831.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $3,311.31	Facility		$851.14	$1,412.54	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,659.59	Professional		$524.81	$912.01	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $426.58	Facility		$407.38	$407.38	$426.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $537.03	Professional		$407.38	$501.19	$537.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $50,118.72 / $75,857.76	Facility		$870.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $812.83	Professional		$562.34	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $831.76 / $977.24	Facility		$295.12	$831.76	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $724.44	Professional		$275.42	$416.87	$724.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $501.19	Facility		$407.38	$489.78	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $537.03	Professional		$407.38	$501.19	$537.03