Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $302.00 / $426.58	Facility		$138.04	$302.00	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $302.00	Professional		$131.83	$181.97	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $776.25	Facility		$380.19	$380.19	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $575.44	Professional		$186.21	$190.55	$575.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $316.23 / $316.23	Facility		$288.40	$316.23	$316.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $50,118.72	Facility		$263.03	$575.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $380.19	Professional		$194.98	$194.98	$380.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,479.11	Facility		$380.19	$630.96	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $741.31	Professional		$229.09	$407.38	$741.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Facility		$213.80	$213.80	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $239.88	Professional		$213.80	$223.87	$239.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $371.54	Professional		$251.19	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $416.87	Facility		$125.89	$245.47	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $316.23	Professional		$125.89	$204.17	$316.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $223.87 / $234.42	Facility		$213.80	$223.87	$234.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $239.88	Professional		$213.80	$223.87	$239.88