Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $489.78 / $691.83	Facility		$218.78	$489.78	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $524.81	Professional		$251.19	$338.84	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Facility		$616.60	$616.60	$1,230.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,047.13	Professional		$354.81	$354.81	$1,047.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $501.19	Facility		$467.74	$501.19	$501.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,071.52 / $50,118.72	Facility		$478.63	$1,071.52	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $602.56	Professional		$354.81	$354.81	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $2,344.23	Facility		$616.60	$1,023.29	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,202.26	Professional		$380.19	$676.08	$1,202.26
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 / $363.08 / $389.05	Professional		$251.19	$363.08	$389.05
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 $398.11 / $588.84 / $588.84	Professional		$398.11	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $457.09 / $794.33	Facility		$239.88	$457.09	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $512.86	Professional		$199.53	$323.59	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $363.08	Facility		$251.19	$346.74	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $389.05	Professional		$251.19	$363.08	$389.05