Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $524.81 / $891.25	Facility		$234.42	$524.81	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $302.00	Professional		$162.18	$218.78	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $512.86	Professional		$229.09	$229.09	$512.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $275.42	Professional		$199.53	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $588.84 / $707.95	Facility		$177.83	$588.84	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,318.26 / $1,318.26	Professional		$275.42	$1,318.26	$1,318.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $1,047.13	Facility		$275.42	$457.09	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $537.03	Professional		$288.40	$363.08	$537.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $489.78	Professional		$229.09	$269.15	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $50,118.72	Facility		$354.81	$512.86	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Professional		$275.42	$275.42	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $331.13	Facility		$245.47	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $363.08	Professional		$114.82	$165.96	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $316.23	Facility		$165.96	$275.42	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $549.54	Professional		$229.09	$275.42	$549.54