Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $812.83	Facility		$257.04	$575.44	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $630.96	Professional		$295.12	$407.38	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,445.44	Facility		$724.44	$724.44	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,230.27	Professional		$436.52	$436.52	$1,230.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $588.84 / $588.84	Facility		$549.54	$588.84	$588.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,230.27 / $50,118.72	Facility		$457.09	$1,230.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $707.95	Professional		$331.13	$331.13	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,754.23	Facility		$724.44	$1,202.26	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,380.38	Professional		$446.68	$794.33	$1,380.38
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 $426.58 / $457.09 / $478.63	Professional		$426.58	$457.09	$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 $467.74 / $691.83 / $691.83	Professional		$467.74	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $954.99	Facility		$295.12	$562.34	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $602.56	Professional		$234.42	$380.19	$602.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $501.19	Facility		$426.58	$446.68	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $478.63	Professional		$426.58	$457.09	$478.63