Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $380.19 / $602.56	Facility		$190.55	$380.19	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $194.98	Professional		$128.82	$151.36	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $208.93	Professional		$13.18	$13.18	$208.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $199.53	Professional		$144.54	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $426.58 / $524.81	Facility		$128.82	$426.58	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $954.99 / $954.99	Professional		$199.53	$954.99	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $776.25	Facility		$199.53	$331.13	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $380.19	Professional		$208.93	$269.15	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $354.81	Professional		$165.96	$199.53	$354.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $50,118.72	Facility		$257.04	$380.19	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $199.53 / $239.88	Facility		$181.97	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $263.03	Professional		$83.18	$120.23	$263.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $229.09	Facility		$120.23	$199.53	$229.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $398.11	Professional		$165.96	$199.53	$398.11