Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $436.52 / $616.60	Facility		$199.53	$436.52	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $537.03	Professional		$223.87	$316.23	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,122.02	Facility		$549.54	$549.54	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $870.96	Professional		$323.59	$331.13	$870.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $457.09 / $457.09	Facility		$416.87	$457.09	$457.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $50,118.72	Facility		$398.11	$954.99	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $549.54	Professional		$288.40	$288.40	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $2,137.96	Facility		$549.54	$912.01	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $1,071.52	Professional		$346.74	$616.60	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Facility		$251.19	$251.19	$263.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $346.74	Professional		$251.19	$323.59	$346.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $537.03	Professional		$363.08	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $426.58 / $724.44	Facility		$223.87	$426.58	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $457.09	Professional		$181.97	$295.12	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $323.59	Facility		$251.19	$309.03	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $346.74	Professional		$251.19	$323.59	$346.74