Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $457.09 / $660.69	Facility		$208.93	$457.09	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $501.19	Professional		$239.88	$346.74	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,174.90	Facility		$588.84	$588.84	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $912.01	Professional		$346.74	$354.81	$912.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $478.63 / $478.63	Facility		$446.68	$478.63	$478.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $50,118.72	Facility		$489.78	$1,047.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $575.44	Professional		$363.08	$363.08	$575.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $2,238.72	Facility		$588.84	$954.99	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,122.02	Professional		$363.08	$645.65	$1,122.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $295.12	Facility		$281.84	$281.84	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $363.08	Professional		$281.84	$346.74	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $562.34	Professional		$380.19	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $776.25	Facility		$234.42	$457.09	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $478.63	Professional		$190.55	$309.03	$478.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $338.84 / $346.74	Facility		$281.84	$338.84	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $363.08	Professional		$281.84	$346.74	$363.08