Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $501.19 / $776.25	Facility		$223.87	$501.19	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $467.74	Professional		$181.97	$229.09	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $676.08	Facility		$257.04	$257.04	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $676.08	Professional		$125.89	$125.89	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $257.04	Facility		$154.88	$257.04	$257.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $257.04	Professional		$186.21	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $549.54 / $933.25	Facility		$173.78	$549.54	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $1,230.27	Professional		$186.21	$407.38	$1,230.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $831.76	Facility		$208.93	$331.13	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $489.78	Professional		$181.97	$257.04	$489.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $467.74	Professional		$218.78	$257.04	$467.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $50,118.72	Facility		$269.15	$489.78	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $331.13	Professional		$257.04	$257.04	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Facility		$229.09	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $407.38	Professional		$107.15	$154.88	$407.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $295.12 / $630.96	Facility		$134.90	$295.12	$630.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $676.08	Professional		$218.78	$263.03	$676.08