Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $575.44	Facility		$194.98	$363.08	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $380.19	Professional		$123.03	$177.83	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $537.03	Facility		$208.93	$208.93	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $398.11	Professional		$83.18	$83.18	$398.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $208.93 / $208.93	Facility		$123.03	$208.93	$208.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $208.93	Professional		$151.36	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $446.68 / $537.03	Facility		$134.90	$446.68	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $1,000.00	Professional		$125.89	$263.03	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $575.44	Facility		$173.78	$269.15	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $389.05	Professional		$144.54	$173.78	$389.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $371.54	Professional		$125.89	$194.98	$371.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $389.05 / $50,118.72	Facility		$269.15	$389.05	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Professional		$208.93	$208.93	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $251.19	Facility		$186.21	$208.93	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $281.84	Professional		$87.10	$123.03	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $245.47	Facility		$125.89	$151.36	$245.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $371.54	Professional		$131.83	$194.98	$371.54