Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $512.86 / $724.44	Facility		$218.78	$512.86	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $457.09	Professional		$218.78	$309.03	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,318.26	Facility		$645.65	$645.65	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,023.29	Professional		$309.03	$309.03	$1,023.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $537.03 / $537.03	Facility		$501.19	$537.03	$537.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $954.99 / $50,118.72	Facility		$323.59	$954.99	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $645.65	Professional		$234.42	$234.42	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $2,511.89	Facility		$645.65	$1,071.52	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,258.93	Professional		$407.38	$691.83	$1,258.93
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 $380.19 / $407.38 / $457.09	Professional		$380.19	$407.38	$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 $426.58 / $630.96 / $630.96	Professional		$426.58	$630.96	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $346.74 / $707.95	Facility		$213.80	$346.74	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $537.03	Professional		$213.80	$316.23	$537.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $398.11 / $478.63	Facility		$380.19	$398.11	$478.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $457.09	Professional		$380.19	$407.38	$457.09