Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $354.81 / $501.19	Facility		$158.49	$354.81	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $380.19	Professional		$186.21	$229.09	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $891.25	Facility		$446.68	$446.68	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $758.58	Professional		$245.47	$245.47	$758.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $363.08 / $363.08	Facility		$338.84	$363.08	$363.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $707.95 / $50,118.72	Facility		$316.23	$707.95	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $446.68	Professional		$234.42	$234.42	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $1,698.24	Facility		$446.68	$741.31	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $851.14	Professional		$275.42	$467.74	$851.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $309.03	Professional		$263.03	$281.84	$309.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $50,118.72 / $75,857.76	Facility		$660.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $426.58	Professional		$288.40	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $549.54	Facility		$165.96	$457.09	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $363.08	Professional		$144.54	$234.42	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $323.59	Facility		$251.19	$263.03	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $309.03	Professional		$263.03	$281.84	$309.03