Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $467.74 / $741.31	Facility		$208.93	$467.74	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $239.88	Professional		$147.91	$194.98	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $281.84	Professional		$66.07	$66.07	$281.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $446.68	Professional		$251.19	$251.19	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $645.65	Facility		$162.18	$524.81	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $1,202.26	Professional		$251.19	$363.08	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $954.99	Facility		$251.19	$407.38	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $478.63	Professional		$263.03	$338.84	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $446.68	Professional		$208.93	$245.47	$446.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $467.74 / $50,118.72	Facility		$323.59	$467.74	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Professional		$251.19	$251.19	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $251.19 / $295.12	Facility		$223.87	$251.19	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $331.13	Professional		$104.71	$147.91	$331.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $288.40	Facility		$208.93	$251.19	$288.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $489.78	Professional		$169.82	$251.19	$489.78