Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,621.81	Facility		$457.09	$1,023.29	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $524.81	Professional		$295.12	$407.38	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $416.87	Professional		$50.12	$50.12	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $537.03	Professional		$398.11	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,148.15 / $1,380.38	Facility		$354.81	$1,148.15	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,630.27 / $2,630.27	Professional		$616.60	$2,630.27	$2,630.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $2,089.30	Facility		$537.03	$891.25	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $1,047.13	Professional		$257.04	$323.59	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $602.56	Professional		$338.84	$512.86	$602.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $50,118.72	Facility		$707.95	$1,023.29	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $489.78 / $645.65	Facility		$229.09	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $812.83	Professional		$229.09	$323.59	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $616.60	Facility		$457.09	$537.03	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $616.60	Professional		$331.13	$512.86	$616.60