Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $562.34 / $794.33	Facility		$257.04	$562.34	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $588.84	Professional		$269.15	$371.54	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,412.54	Facility		$707.95	$707.95	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $1,071.52	Professional		$398.11	$416.87	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $575.44	Facility		$537.03	$575.44	$575.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,174.90 / $50,118.72	Facility		$407.38	$1,174.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $691.83	Professional		$302.00	$302.00	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,174.90 / $2,754.23	Facility		$707.95	$1,174.90	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,380.38	Professional		$436.52	$776.25	$1,380.38
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 $416.87 / $446.68 / $501.19	Professional		$416.87	$446.68	$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 $467.74 / $676.08 / $676.08	Professional		$467.74	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $524.81 / $891.25	Facility		$245.47	$524.81	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $588.84	Professional		$229.09	$371.54	$588.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $524.81	Facility		$416.87	$436.52	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $501.19	Professional		$416.87	$446.68	$501.19