Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $549.54	Facility		$138.04	$354.81	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $165.96	Professional		$97.72	$123.03	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $512.86	Facility		$199.53	$199.53	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $213.80	Professional		$45.71	$45.71	$213.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $147.91	Professional		$109.65	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $389.05	Facility		$128.82	$316.23	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $954.99	Professional		$199.53	$288.40	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $758.58	Facility		$199.53	$331.13	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $389.05	Professional		$208.93	$269.15	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $263.03	Professional		$125.89	$169.82	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $50,118.72	Facility		$257.04	$371.54	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $239.88	Facility		$177.83	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $204.17	Professional		$63.10	$89.13	$204.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $169.82	Facility		$125.89	$147.91	$169.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $295.12	Professional		$112.20	$154.88	$295.12