Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $870.96	Facility		$281.84	$616.60	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $758.58	Professional		$338.84	$457.09	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,584.89	Facility		$794.33	$794.33	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,318.26	Professional		$467.74	$467.74	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $645.65 / $645.65	Facility		$602.56	$645.65	$645.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,380.38 / $50,118.72	Facility		$501.19	$1,380.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $776.25	Professional		$363.08	$363.08	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $3,019.95	Facility		$794.33	$1,288.25	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,513.56	Professional		$489.78	$870.96	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $489.78	Professional		$275.42	$467.74	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $50,118.72 / $75,857.76	Facility		$588.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $758.58	Professional		$512.86	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $602.56 / $1,047.13	Facility		$288.40	$602.56	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $645.65	Professional		$257.04	$426.58	$645.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $436.52 / $467.74	Facility		$275.42	$436.52	$467.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $489.78	Professional		$275.42	$467.74	$489.78