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 $3.98 / $239.88 / $338.84	Professional		$3.98	$239.88	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $346.74	Professional		$4.27	$4.27	$346.74
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 $263.03 / $354.81 / $354.81	Professional		$263.03	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $758.58 / $912.01	Facility		$234.42	$758.58	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,737.80 / $1,737.80	Professional		$407.38	$1,737.80	$1,737.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $1,380.38	Facility		$354.81	$588.84	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $691.83	Professional		$169.82	$213.80	$691.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $407.38	Professional		$223.87	$354.81	$407.38
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
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $426.58	Facility		$213.80	$323.59	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $537.03	Professional		$151.36	$213.80	$537.03
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 $218.78 / $354.81 / $407.38	Professional		$218.78	$354.81	$407.38