Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $389.05	Facility		$114.82	$275.42	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $251.19	Professional		$114.82	$151.36	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $691.83	Facility		$346.74	$346.74	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $562.34	Professional		$173.78	$173.78	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $281.84 / $281.84	Facility		$263.03	$281.84	$281.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $524.81 / $50,118.72	Facility		$173.78	$524.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $331.13	Professional		$125.89	$125.89	$331.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $1,318.26	Facility		$346.74	$575.44	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $676.08	Professional		$213.80	$363.08	$676.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $269.15	Facility		$257.04	$257.04	$269.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $257.04	Professional		$204.17	$218.78	$257.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $50,118.72 / $75,857.76	Facility		$549.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $331.13	Professional		$223.87	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $380.19	Facility		$114.82	$190.55	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $288.40	Professional		$112.20	$169.82	$288.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $269.15	Facility		$204.17	$213.80	$269.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $257.04	Professional		$204.17	$218.78	$257.04