Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $354.81	Facility		$120.23	$208.93	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $363.08	Professional		$117.49	$158.49	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $323.59	Professional		$104.71	$131.83	$323.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $323.59 / $812.83	Facility		$234.42	$323.59	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $501.19	Professional		$91.20	$186.21	$501.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $162.18 / $398.11	Facility		$30.20	$162.18	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $338.84	Professional		$177.83	$208.93	$338.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $275.42	Professional		$109.65	$186.21	$275.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $213.80	Professional		$154.88	$190.55	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $1,174.90	Facility		$645.65	$933.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $309.03	Professional		$102.33	$158.49	$309.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $162.18 / $229.09	Facility		$46.77	$162.18	$229.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $316.23	Professional		$112.20	$186.21	$316.23