Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $269.15 / $426.58	Facility		$120.23	$269.15	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $158.49	Professional		$85.11	$114.82	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $371.54	Facility		$141.25	$141.25	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $154.88	Professional		$19.95	$19.95	$154.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $141.25	Professional		$104.71	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $302.00 / $371.54	Facility		$93.33	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $691.83	Professional		$141.25	$208.93	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $549.54	Facility		$141.25	$234.42	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $275.42	Professional		$151.36	$190.55	$275.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $257.04	Professional		$114.82	$141.25	$257.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $50,118.72	Facility		$186.21	$269.15	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Professional		$141.25	$141.25	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $190.55	Professional		$60.26	$85.11	$190.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $162.18	Facility		$85.11	$141.25	$162.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $281.84	Professional		$114.82	$141.25	$281.84