Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $549.54 / $776.25	Facility		$229.09	$549.54	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $616.60	Professional		$275.42	$354.81	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,174.90	Professional		$380.19	$380.19	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Facility		$524.81	$562.34	$562.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,096.48 / $50,118.72	Facility		$389.05	$1,096.48	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $691.83	Professional		$281.84	$281.84	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,630.27	Facility		$691.83	$1,148.15	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,318.26	Professional		$426.58	$724.44	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $478.63	Facility		$457.09	$457.09	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $457.09	Professional		$407.38	$436.52	$457.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $50,118.72 / $75,857.76	Facility		$977.24	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $660.69	Professional		$446.68	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $707.95 / $851.14	Facility		$257.04	$707.95	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $588.84	Professional		$223.87	$346.74	$588.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $478.63	Facility		$407.38	$426.58	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $457.09	Professional		$407.38	$436.52	$457.09