Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $380.19 / $602.56	Facility		$199.53	$380.19	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $426.58	Professional		$151.36	$223.87	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $524.81	Facility		$199.53	$199.53	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $323.59	Professional		$79.43	$79.43	$323.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $199.53	Facility		$120.23	$199.53	$199.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $316.23	Professional		$199.53	$199.53	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $426.58 / $724.44	Facility		$134.90	$426.58	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $954.99	Professional		$120.23	$269.15	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $549.54	Facility		$144.54	$239.88	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $380.19	Professional		$141.25	$199.53	$380.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $354.81	Professional		$158.49	$190.55	$354.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $50,118.72	Facility		$257.04	$380.19	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $199.53 / $239.88	Facility		$181.97	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $263.03	Professional		$83.18	$120.23	$263.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Facility		$169.82	$169.82	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $398.11	Professional		$158.49	$190.55	$398.11