Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $489.78 / $831.76	Facility		$275.42	$489.78	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $457.09	Professional		$162.18	$234.42	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $707.95	Facility		$275.42	$275.42	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $537.03	Professional		$109.65	$109.65	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $275.42	Facility		$165.96	$275.42	$275.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $371.54	Professional		$275.42	$275.42	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $588.84 / $707.95	Facility		$177.83	$588.84	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $1,318.26	Professional		$165.96	$338.84	$1,318.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $346.74 / $758.58	Facility		$213.80	$346.74	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $524.81	Professional		$190.55	$234.42	$524.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $489.78	Professional		$165.96	$263.03	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $50,118.72	Facility		$354.81	$512.86	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Professional		$275.42	$275.42	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $331.13	Facility		$245.47	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $363.08	Professional		$114.82	$165.96	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $302.00	Facility		$165.96	$199.53	$302.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $489.78	Professional		$173.78	$263.03	$489.78