Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $331.13 / $524.81	Facility		$147.91	$331.13	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $186.21	Professional		$104.71	$138.04	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $457.09	Facility		$173.78	$173.78	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $354.81	Professional		$69.18	$69.18	$354.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $173.78	Professional		$128.82	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $281.84 / $660.69	Facility		$114.82	$281.84	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $851.14 / $851.14	Professional		$173.78	$851.14	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $676.08	Facility		$173.78	$288.40	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $338.84	Professional		$181.97	$234.42	$338.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $309.03	Professional		$147.91	$173.78	$309.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $50,118.72	Facility		$229.09	$331.13	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $208.93	Facility		$158.49	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $229.09	Professional		$74.13	$104.71	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $199.53	Facility		$147.91	$173.78	$199.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $346.74	Professional		$117.49	$173.78	$346.74