Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $524.81	Facility		$147.91	$245.47	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $446.68	Professional		$125.89	$158.49	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $446.68	Professional		$128.82	$158.49	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $144.54	Facility		$77.62	$77.62	$144.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $223.87	Professional		$77.62	$144.54	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $354.81 / $4,168.69	Facility		$239.88	$354.81	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $295.12 / $794.33	Professional		$131.83	$295.12	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $346.74	Facility		$83.18	$131.83	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $316.23	Professional		$158.49	$208.93	$316.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $363.08	Professional		$125.89	$229.09	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $199.53 / $53,703.18	Facility		$104.71	$199.53	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $398.11	Professional		$186.21	$223.87	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $9,120.11	Facility		$5,011.87	$7,244.36	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $512.86	Professional		$125.89	$181.97	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $1,380.38	Facility		$81.28	$120.23	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $416.87	Professional		$125.89	$229.09	$416.87