Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $549.54 / $891.25	Facility		$245.47	$549.54	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $478.63	Professional		$173.78	$245.47	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $758.58	Facility		$288.40	$288.40	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $562.34	Professional		$117.49	$117.49	$562.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $288.40	Facility		$173.78	$288.40	$288.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $288.40	Professional		$213.80	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $616.60 / $758.58	Facility		$190.55	$616.60	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $1,412.54	Professional		$173.78	$363.08	$1,412.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $794.33	Facility		$229.09	$371.54	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $549.54	Professional		$204.17	$288.40	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $524.81	Professional		$234.42	$275.42	$524.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $50,118.72	Facility		$380.19	$549.54	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $302.00	Professional		$288.40	$288.40	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $288.40 / $346.74	Facility		$263.03	$288.40	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $389.05	Professional		$123.03	$173.78	$389.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $363.08	Facility		$234.42	$309.03	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $575.44	Professional		$234.42	$288.40	$575.44