Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.85 / $175.85 / $258.16	Facility		$175.85	$175.85	$258.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $229.57 / $263.02	Professional		$175.85	$229.57	$263.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $124.20 / $200.80	Professional		$105.57	$124.20	$200.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $304.11 / $304.11 / $304.11	Facility		$304.11	$304.11	$304.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $304.11 / $304.11 / $304.11	Professional		$304.11	$304.11	$304.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.38 / $331.95 / $750.07	Professional		$229.38	$331.95	$750.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $319.00 / $653.38	Facility		$212.00	$319.00	$653.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.95 / $343.52 / $560.45	Professional		$284.95	$343.52	$560.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.91 / $236.91 / $236.91	Facility		$236.91	$236.91	$236.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $317.45 / $522.39	Professional		$201.37	$317.45	$522.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $555.00 / $74,999.25	Facility		$264.48	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $267.29 / $685.55	Professional		$35.00	$267.29	$685.55
United Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $259.98 / $525.07	Professional		$188.06	$259.98	$525.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.91 / $305.61 / $414.52	Facility		$236.91	$305.61	$414.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $330.16 / $625.99	Professional		$211.28	$330.16	$625.99