Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $724.44 / $1,148.15	Facility		$323.59	$724.44	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $371.54	Professional		$208.93	$288.40	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $676.08	Professional		$338.84	$338.84	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $380.19	Professional		$275.42	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $812.83 / $977.24	Facility		$245.47	$812.83	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,819.70 / $1,819.70	Professional		$436.52	$1,819.70	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,445.44	Facility		$380.19	$630.96	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $741.31	Professional		$177.83	$229.09	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $426.58	Professional		$239.88	$380.19	$426.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $724.44 / $50,118.72	Facility		$489.78	$724.44	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $457.09	Facility		$229.09	$338.84	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $575.44	Professional		$158.49	$229.09	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $436.52	Facility		$229.09	$380.19	$436.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $436.52	Professional		$229.09	$380.19	$436.52