Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $316.23	Facility		$151.36	$208.93	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $512.86	Professional		$123.03	$177.83	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $426.58	Professional		$144.54	$186.21	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $229.09	Facility		$37.15	$37.15	$229.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $229.09 / $269.15	Professional		$37.15	$229.09	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $549.54 / $1,258.93	Facility		$204.17	$549.54	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $257.04 / $616.60	Professional		$131.83	$257.04	$616.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $398.11	Facility		$95.50	$147.91	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $275.42	Professional		$147.91	$186.21	$275.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $169.82 / $245.47	Professional		$23.99	$169.82	$245.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.87 / $53,703.18	Facility		$112.20	$223.87	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $275.42	Professional		$218.78	$257.04	$275.42
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 $114.82 / $199.53 / $446.68	Professional		$114.82	$199.53	$446.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $107.15 / $281.84	Facility		$20.42	$107.15	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $302.00	Professional		$107.15	$169.82	$302.00