Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $489.78	Facility		$186.21	$288.40	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $380.19	Professional		$158.49	$208.93	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $389.05	Professional		$173.78	$208.93	$389.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $177.83	Facility		$141.25	$141.25	$177.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $316.23	Professional		$141.25	$177.83	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $741.31	Facility		$190.55	$323.59	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $794.33	Professional		$162.18	$302.00	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $446.68	Facility		$109.65	$162.18	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $478.63	Professional		$213.80	$338.84	$478.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $436.52	Professional		$144.54	$208.93	$436.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $50,118.72 / $75,857.76	Facility		$229.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $549.54	Professional		$245.47	$295.12	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $371.54	Facility		$257.04	$302.00	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $562.34	Professional		$154.88	$234.42	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $426.58	Facility		$107.15	$125.89	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $575.44	Professional		$154.88	$218.78	$575.44