Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $478.63	Facility		$141.25	$338.84	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $380.19	Professional		$165.96	$218.78	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $851.14	Facility		$426.58	$426.58	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $724.44	Professional		$234.42	$234.42	$724.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $346.74 / $346.74	Facility		$323.59	$346.74	$346.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $676.08 / $50,118.72	Facility		$251.19	$676.08	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $426.58	Professional		$181.97	$181.97	$426.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,659.59	Facility		$426.58	$707.95	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $831.76	Professional		$263.03	$446.68	$831.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Facility		$95.50	$95.50	$100.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $269.15	Professional		$95.50	$251.19	$269.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $50,118.72 / $75,857.76	Facility		$204.17	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $407.38	Professional		$281.84	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $446.68 / $524.81	Facility		$158.49	$446.68	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $363.08	Professional		$138.04	$213.80	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $251.19	Facility		$95.50	$239.88	$251.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $269.15	Professional		$95.50	$251.19	$269.15