Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $524.81 / $741.31	Facility		$239.88	$524.81	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $602.56	Professional		$269.15	$389.05	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,348.96	Facility		$660.69	$660.69	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,122.02	Professional		$398.11	$398.11	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $549.54	Facility		$512.86	$549.54	$549.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,122.02 / $50,118.72	Facility		$489.78	$1,122.02	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $660.69	Professional		$354.81	$354.81	$660.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $2,570.40	Facility		$660.69	$1,096.48	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $1,288.25	Professional		$416.87	$741.31	$1,288.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Facility		$501.19	$501.19	$524.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $501.19	Professional		$389.05	$416.87	$501.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $50,118.72 / $75,857.76	Facility		$1,071.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $645.65	Professional		$436.52	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $512.86 / $891.25	Facility		$245.47	$512.86	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $549.54	Professional		$218.78	$354.81	$549.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $407.38 / $524.81	Facility		$389.05	$407.38	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $501.19	Professional		$389.05	$416.87	$501.19