Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $537.03 / $758.58	Facility		$245.47	$537.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $630.96	Professional		$288.40	$389.05	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,380.38	Facility		$676.08	$676.08	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $1,122.02	Professional		$446.68	$457.09	$1,122.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Facility		$524.81	$562.34	$562.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,174.90 / $50,118.72	Facility		$416.87	$1,174.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $676.08	Professional		$309.03	$309.03	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,630.27	Facility		$676.08	$1,122.02	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,318.26	Professional		$426.58	$758.58	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $295.12	Facility		$281.84	$281.84	$295.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $426.58	Professional		$281.84	$407.38	$426.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $660.69	Professional		$446.68	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $912.01	Facility		$275.42	$524.81	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $562.34	Professional		$223.87	$371.54	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $407.38	Facility		$281.84	$380.19	$407.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $426.58	Professional		$281.84	$407.38	$426.58