Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $501.19	Facility		$186.21	$309.03	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $575.44	Professional		$151.36	$218.78	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $537.03	Professional		$181.97	$234.42	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $275.42	Facility		$45.71	$45.71	$275.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $275.42 / $316.23	Professional		$45.71	$275.42	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $660.69 / $1,584.89	Facility		$323.59	$660.69	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $977.24	Professional		$173.78	$363.08	$977.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $616.60	Facility		$147.91	$229.09	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $426.58	Professional		$218.78	$288.40	$426.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $213.80 / $389.05	Professional		$54.95	$213.80	$389.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $53,703.18	Facility		$181.97	$363.08	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $338.84	Professional		$263.03	$309.03	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,148.15	Facility		$630.96	$912.01	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $549.54	Professional		$158.49	$245.47	$549.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $162.18 / $346.74	Facility		$45.71	$162.18	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $446.68	Professional		$154.88	$263.03	$446.68