Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $446.68 / $676.08	Facility		$173.78	$446.68	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $186.21	Professional		$112.20	$151.36	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $645.65	Facility		$245.47	$245.47	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $263.03	Professional		$45.71	$45.71	$263.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $194.98	Professional		$141.25	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $416.87 / $501.19	Facility		$162.18	$416.87	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $1,202.26 / $1,202.26	Professional		$120.23	$1,202.26	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $954.99	Facility		$245.47	$407.38	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $478.63	Professional		$91.20	$147.91	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $245.47	Professional		$128.82	$194.98	$245.47
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
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $295.12	Facility		$131.83	$223.87	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $295.12	Professional		$81.28	$117.49	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $223.87	Facility		$165.96	$194.98	$223.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $234.42	Professional		$117.49	$194.98	$234.42