Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $912.01	Facility		$257.04	$575.44	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $316.23	Professional		$181.97	$239.88	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $549.54	Professional		$229.09	$229.09	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $302.00	Professional		$218.78	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $645.65 / $776.25	Facility		$194.98	$645.65	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,445.44 / $1,445.44	Professional		$302.00	$1,445.44	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $1,148.15	Facility		$302.00	$501.19	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $588.84	Professional		$316.23	$407.38	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $537.03	Professional		$251.19	$295.12	$537.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $50,118.72	Facility		$389.05	$562.34	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Professional		$302.00	$302.00	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $363.08	Facility		$269.15	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $398.11	Professional		$125.89	$181.97	$398.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $346.74	Facility		$181.97	$302.00	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $602.56	Professional		$251.19	$302.00	$602.56