Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $416.87 / $588.84	Facility		$173.78	$416.87	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $363.08	Professional		$181.97	$223.87	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,047.13	Facility		$524.81	$524.81	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $831.76	Professional		$234.42	$234.42	$831.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $426.58 / $426.58	Facility		$398.11	$426.58	$426.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $724.44 / $50,118.72	Facility		$251.19	$724.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $501.19	Professional		$181.97	$181.97	$501.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,995.26	Facility		$524.81	$870.96	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $1,000.00	Professional		$323.59	$549.54	$1,000.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $309.03	Facility		$295.12	$295.12	$309.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $331.13	Professional		$295.12	$309.03	$331.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $501.19	Professional		$338.84	$501.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $549.54	Facility		$165.96	$346.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $426.58	Professional		$169.82	$257.04	$426.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $309.03 / $323.59	Facility		$295.12	$309.03	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $331.13	Professional		$295.12	$309.03	$331.13