Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $171.39 / $268.44	Facility		$122.21	$171.39	$268.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.21 / $212.42 / $221.76	Professional		$122.21	$212.42	$221.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.24 / $333.24 / $666.48	Facility		$333.24	$333.24	$666.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $115.83 / $381.71	Professional		$93.27	$115.83	$381.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $196.19 / $277.63	Facility		$196.19	$196.19	$277.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $196.19 / $196.19	Professional		$196.19	$196.19	$196.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $433.21 / $749.79	Facility		$319.00	$433.21	$749.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $599.83 / $926.41	Professional		$333.24	$599.83	$926.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.99 / $141.99 / $192.72	Facility		$141.99	$141.99	$192.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.39 / $190.81 / $204.76	Professional		$170.39	$190.81	$204.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $205.96 / $570.78	Professional		$153.00	$205.96	$570.78
United Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $290.93 / $419.94	Professional		$110.83	$290.93	$419.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.80 / $192.72 / $192.72	Facility		$120.80	$192.72	$192.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $190.81 / $204.76	Professional		$120.80	$190.81	$204.76