Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $501.19 / $851.14	Facility		$281.84	$501.19	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $467.74	Professional		$169.82	$239.88	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $741.31	Facility		$281.84	$281.84	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $549.54	Professional		$112.20	$112.20	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $281.84	Facility		$169.82	$281.84	$281.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $281.84	Professional		$204.17	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $602.56 / $741.31	Facility		$181.97	$602.56	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $1,348.96	Professional		$169.82	$346.74	$1,348.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $776.25	Facility		$218.78	$354.81	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $501.19	Professional		$199.53	$281.84	$501.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $501.19	Professional		$223.87	$269.15	$501.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $50,118.72	Facility		$371.54	$537.03	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $288.40	Professional		$281.84	$281.84	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $281.84 / $338.84	Facility		$257.04	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $371.54	Professional		$117.49	$169.82	$371.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $354.81	Facility		$229.09	$302.00	$354.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $562.34	Professional		$223.87	$281.84	$562.34