Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $676.08 / $1,071.52	Facility		$302.00	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $346.74	Professional		$213.80	$281.84	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $630.96	Professional		$239.88	$239.88	$630.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $354.81	Professional		$257.04	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $758.58 / $933.25	Facility		$229.09	$758.58	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,698.24 / $1,698.24	Professional		$354.81	$1,698.24	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $1,380.38	Facility		$354.81	$537.03	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $691.83	Professional		$371.54	$478.63	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $630.96	Professional		$295.12	$354.81	$630.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $50,118.72	Facility		$467.74	$676.08	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $363.08	Professional		$354.81	$354.81	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $354.81 / $426.58	Facility		$323.59	$354.81	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $467.74	Professional		$147.91	$213.80	$467.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $407.38	Facility		$213.80	$354.81	$407.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $707.95	Professional		$295.12	$354.81	$707.95