Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $977.24	Facility		$338.84	$645.65	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $707.95	Professional		$245.47	$316.23	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $870.96	Facility		$338.84	$338.84	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $794.33	Professional		$165.96	$165.96	$794.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $338.84 / $338.84	Facility		$199.53	$338.84	$338.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $338.84	Professional		$245.47	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $1,202.26	Facility		$223.87	$831.76	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $478.63 / $1,621.81	Professional		$204.17	$478.63	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $912.01	Facility		$190.55	$389.05	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $630.96	Professional		$234.42	$331.13	$630.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $602.56	Professional		$281.84	$338.84	$602.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $50,118.72	Facility		$398.11	$630.96	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $426.58	Professional		$338.84	$338.84	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $338.84 / $398.11	Facility		$302.00	$338.84	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $501.19	Professional		$141.25	$199.53	$501.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $741.31	Facility		$251.19	$354.81	$741.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $776.25	Professional		$281.84	$338.84	$776.25