Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $776.25	Facility		$245.47	$537.03	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $575.44	Professional		$281.84	$346.74	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $1,071.52	Professional		$407.38	$416.87	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Facility		$524.81	$562.34	$562.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $50,118.72	Facility		$436.52	$1,071.52	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $676.08	Professional		$316.23	$316.23	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $2,630.27	Facility		$691.83	$1,122.02	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,318.26	Professional		$426.58	$724.44	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Facility		$478.63	$478.63	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $478.63	Professional		$407.38	$426.58	$478.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $50,118.72 / $75,857.76	Facility		$1,023.29	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $660.69	Professional		$446.68	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $478.63 / $831.76	Facility		$251.19	$478.63	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $562.34	Professional		$223.87	$363.08	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $501.19	Facility		$407.38	$416.87	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $478.63	Professional		$407.38	$426.58	$478.63