Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $457.09	Facility		$134.90	$323.59	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $269.15	Professional		$138.04	$173.78	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $812.83	Facility		$407.38	$407.38	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $588.84	Professional		$181.97	$190.55	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $331.13 / $331.13	Facility		$309.03	$331.13	$331.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $562.34 / $50,118.72	Facility		$186.21	$562.34	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $389.05	Professional		$138.04	$138.04	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $1,584.89	Facility		$407.38	$676.08	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $794.33	Professional		$251.19	$426.58	$794.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Facility		$302.00	$302.00	$316.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $302.00	Professional		$239.88	$257.04	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $50,118.72 / $75,857.76	Facility		$660.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $389.05	Professional		$269.15	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $407.38	Facility		$123.03	$204.17	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $338.84	Professional		$134.90	$199.53	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $316.23	Facility		$239.88	$251.19	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $302.00	Professional		$239.88	$257.04	$302.00