Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $562.34	Facility		$154.88	$363.08	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $371.54	Professional		$109.65	$173.78	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $524.81	Facility		$204.17	$204.17	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $389.05	Professional		$81.28	$81.28	$389.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $204.17	Facility		$120.23	$204.17	$204.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $204.17	Professional		$147.91	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $436.52 / $724.44	Facility		$134.90	$436.52	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $977.24	Professional		$123.03	$257.04	$977.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $562.34	Facility		$147.91	$245.47	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $380.19	Professional		$141.25	$190.55	$380.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $363.08	Professional		$173.78	$204.17	$363.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $50,118.72	Facility		$263.03	$407.38	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $208.93	Professional		$204.17	$204.17	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $245.47	Facility		$181.97	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $269.15	Professional		$85.11	$120.23	$269.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $229.09	Facility		$173.78	$190.55	$229.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $363.08	Professional		$173.78	$204.17	$363.08