Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $549.54 / $776.25	Facility		$239.88	$549.54	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $575.44	Professional		$275.42	$371.54	$575.44
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 $389.05 / $389.05 / $1,122.02	Professional		$389.05	$389.05	$1,122.02
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 $436.52 / $1,096.48 / $50,118.72	Facility		$436.52	$1,096.48	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $691.83	Professional		$316.23	$316.23	$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 $398.11 / $398.11 / $416.87	Facility		$398.11	$398.11	$416.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $457.09	Professional		$398.11	$426.58	$457.09
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 $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 $398.11 / $426.58 / $478.63	Facility		$398.11	$426.58	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $457.09	Professional		$398.11	$426.58	$457.09