Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $707.95 / $1,122.02	Facility		$316.23	$707.95	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $398.11	Professional		$223.87	$302.00	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $537.03	Professional		$151.36	$151.36	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $371.54	Professional		$275.42	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $794.33 / $977.24	Facility		$245.47	$794.33	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,819.70	Professional		$371.54	$501.19	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,445.44	Facility		$371.54	$616.60	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $724.44	Professional		$398.11	$489.78	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $676.08	Professional		$302.00	$371.54	$676.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $50,118.72	Facility		$489.78	$707.95	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Professional		$371.54	$371.54	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $489.78	Professional		$158.49	$223.87	$489.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $426.58	Facility		$223.87	$371.54	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $741.31	Professional		$302.00	$371.54	$741.31