Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $537.03 / $912.01	Facility		$302.00	$537.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $501.19	Professional		$181.97	$257.04	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $776.25	Facility		$302.00	$302.00	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $588.84	Professional		$120.23	$120.23	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $302.00	Facility		$181.97	$302.00	$302.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $302.00	Professional		$218.78	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $645.65 / $776.25	Facility		$194.98	$645.65	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $1,445.44	Professional		$181.97	$371.54	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $831.76	Facility		$234.42	$380.19	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $575.44	Professional		$208.93	$295.12	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $537.03	Professional		$239.88	$288.40	$537.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $50,118.72	Facility		$389.05	$562.34	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Professional		$302.00	$302.00	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $363.08	Facility		$269.15	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $398.11	Professional		$125.89	$181.97	$398.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $371.54	Facility		$245.47	$316.23	$371.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $602.56	Professional		$239.88	$302.00	$602.56