Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $537.03 / $758.58	Facility		$229.09	$537.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $501.19	Professional		$229.09	$302.00	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,348.96	Facility		$676.08	$676.08	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,071.52	Professional		$331.13	$331.13	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $562.34	Facility		$512.86	$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 $331.13 / $954.99 / $50,118.72	Facility		$331.13	$954.99	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $707.95	Professional		$239.88	$239.88	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,630.27	Facility		$676.08	$1,122.02	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,318.26	Professional		$426.58	$707.95	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Facility		$354.81	$354.81	$371.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $426.58	Professional		$354.81	$398.11	$426.58
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Professional		$239.88	$239.88	$257.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $50,118.72 / $75,857.76	Facility		$758.58	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $645.65	Professional		$446.68	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $707.95	Facility		$199.53	$331.13	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $562.34	Professional		$223.87	$331.13	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $398.11 / $416.87	Facility		$354.81	$398.11	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $426.58	Professional		$354.81	$398.11	$426.58