Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $436.52 / $616.60	Facility		$181.97	$436.52	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $630.96	Professional		$218.78	$323.59	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,096.48	Facility		$549.54	$549.54	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $933.25	Professional		$323.59	$323.59	$933.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $446.68	Facility		$416.87	$446.68	$446.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,000.00 / $50,118.72	Facility		$346.74	$1,000.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $588.84	Professional		$251.19	$251.19	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $2,089.30	Facility		$549.54	$912.01	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,047.13	Professional		$338.84	$575.44	$1,047.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Facility		$154.88	$154.88	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $346.74	Professional		$154.88	$323.59	$346.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $50,118.72 / $75,857.76	Facility		$338.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $524.81	Professional		$354.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $446.68 / $724.44	Facility		$218.78	$446.68	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $467.74	Professional		$177.83	$281.84	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $323.59	Facility		$154.88	$309.03	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $346.74	Professional		$154.88	$323.59	$346.74