Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $537.03 / $851.14	Facility		$239.88	$537.03	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $316.23	Professional		$169.82	$223.87	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $524.81	Professional		$229.09	$229.09	$524.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $281.84	Professional		$204.17	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $602.56 / $741.31	Facility		$181.97	$602.56	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,348.96 / $1,348.96	Professional		$281.84	$1,348.96	$1,348.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $1,096.48	Facility		$281.84	$467.74	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $549.54	Professional		$295.12	$380.19	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $501.19	Professional		$234.42	$281.84	$501.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $50,118.72	Facility		$371.54	$537.03	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $288.40	Professional		$281.84	$281.84	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $281.84 / $338.84	Facility		$257.04	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $371.54	Professional		$117.49	$169.82	$371.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $323.59	Facility		$169.82	$281.84	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $562.34	Professional		$234.42	$281.84	$562.34