Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.50 / $283.87 / $528.51	Facility		$194.50	$283.87	$528.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $276.93 / $665.26	Professional		$146.53	$276.93	$665.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $172.48 / $516.25	Professional		$131.94	$172.48	$516.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $102.53 / $129.66	Facility		$102.53	$102.53	$129.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $129.66 / $232.19	Professional		$102.53	$129.66	$232.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $431.33 / $795.70	Professional		$257.68	$431.33	$795.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $134.49 / $332.00	Facility		$75.18	$134.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $234.18 / $528.01	Professional		$162.63	$234.18	$528.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $136.35 / $136.35	Facility		$136.35	$136.35	$136.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $235.50 / $336.23	Professional		$136.35	$235.50	$336.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $254.50 / $74,999.25	Facility		$105.94	$254.50	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $273.51 / $700.70	Professional		$197.18	$273.51	$700.70
United Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $184.65 / $524.79	Professional		$140.52	$184.65	$524.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $184.13 / $184.13 / $1,692.58	Facility		$184.13	$184.13	$1,692.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $236.41 / $422.88	Professional		$159.78	$236.41	$422.88