Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $851.14 / $1,348.96	Facility		$380.19	$851.14	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $501.19	Professional		$269.15	$363.08	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $1,174.90	Facility		$446.68	$446.68	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $588.84	Professional		$181.97	$181.97	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $446.68	Professional		$331.13	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $954.99 / $1,174.90	Facility		$295.12	$954.99	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $2,187.76	Professional		$446.68	$660.69	$2,187.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $1,737.80	Facility		$446.68	$741.31	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $870.96	Professional		$478.63	$602.56	$870.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $812.83	Professional		$363.08	$446.68	$812.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $50,118.72	Facility		$588.84	$851.14	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Professional		$446.68	$446.68	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $446.68 / $537.03	Facility		$407.38	$446.68	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $588.84	Professional		$190.55	$269.15	$588.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $512.86	Facility		$269.15	$446.68	$512.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $891.25	Professional		$363.08	$446.68	$891.25