Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $602.56 / $912.01	Facility		$275.42	$602.56	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $537.03	Professional		$199.53	$288.40	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $851.14	Facility		$323.59	$323.59	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $562.34	Professional		$128.82	$128.82	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $323.59	Facility		$194.98	$323.59	$323.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $323.59	Professional		$234.42	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $691.83 / $1,174.90	Facility		$218.78	$691.83	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $398.11 / $1,548.82	Professional		$194.98	$398.11	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $891.25	Facility		$218.78	$380.19	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $616.60	Professional		$229.09	$323.59	$616.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $309.03 / $575.44	Professional		$123.03	$309.03	$575.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $616.60 / $50,118.72	Facility		$426.58	$616.60	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $338.84	Professional		$323.59	$323.59	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $389.05	Facility		$295.12	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $426.58	Professional		$134.90	$194.98	$426.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $275.42 / $346.74	Facility		$64.57	$275.42	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $309.03 / $912.01	Professional		$123.03	$309.03	$912.01