Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $537.03	Facility		$173.78	$331.13	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $331.13	Professional		$128.82	$162.18	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $446.68	Facility		$173.78	$173.78	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $446.68	Professional		$97.72	$97.72	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $173.78	Facility		$104.71	$173.78	$173.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $173.78	Professional		$125.89	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $436.52 / $1,862.09	Facility		$131.83	$436.52	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $912.01	Professional		$123.03	$257.04	$912.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $478.63	Facility		$109.65	$199.53	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $331.13	Professional		$120.23	$147.91	$331.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $309.03	Professional		$107.15	$169.82	$309.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $50,118.72	Facility		$173.78	$309.03	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $223.87	Professional		$173.78	$173.78	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $173.78 / $208.93	Facility		$154.88	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $269.15	Professional		$77.62	$104.71	$269.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $457.09	Facility		$100.00	$131.83	$457.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $512.86	Professional		$120.23	$173.78	$512.86