Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $446.68	Facility		$141.25	$309.03	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $407.38	Professional		$165.96	$218.78	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $794.33	Facility		$398.11	$398.11	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $676.08	Professional		$234.42	$234.42	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $323.59 / $323.59	Facility		$302.00	$323.59	$323.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $691.83 / $50,118.72	Facility		$302.00	$691.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $389.05	Professional		$223.87	$223.87	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,513.56	Facility		$398.11	$645.65	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $758.58	Professional		$245.47	$416.87	$758.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $309.03	Facility		$295.12	$295.12	$309.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $295.12	Professional		$234.42	$245.47	$295.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $380.19	Professional		$257.04	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $524.81	Facility		$158.49	$302.00	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $323.59	Professional		$128.82	$208.93	$323.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $309.03	Facility		$234.42	$239.88	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $295.12	Professional		$234.42	$245.47	$295.12