Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $1,288.25	Facility		$363.08	$812.83	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $416.87	Professional		$257.04	$338.84	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $616.60	Professional		$57.54	$57.54	$616.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $426.58	Professional		$309.03	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $912.01 / $1,096.48	Facility		$275.42	$912.01	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $2,041.74	Professional		$426.58	$616.60	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,659.59	Facility		$426.58	$707.95	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $831.76	Professional		$446.68	$575.44	$831.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $758.58	Professional		$346.74	$426.58	$758.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $50,118.72	Facility		$549.54	$812.83	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $436.52	Professional		$426.58	$426.58	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $512.86	Facility		$380.19	$426.58	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $562.34	Professional		$177.83	$257.04	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $489.78	Facility		$257.04	$426.58	$489.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $851.14	Professional		$346.74	$426.58	$851.14