Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.79 / $208.66 / $326.82	Facility		$148.79	$208.66	$326.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.79 / $258.61 / $270.00	Professional		$148.79	$258.61	$270.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.72 / $405.72 / $811.44	Facility		$405.72	$405.72	$811.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $141.01 / $464.73	Professional		$113.55	$141.01	$464.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $238.85 / $238.85 / $338.02	Facility		$238.85	$238.85	$338.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $238.85 / $238.85	Professional		$238.85	$238.85	$238.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $527.44 / $912.87	Facility		$319.00	$527.44	$912.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $730.30 / $1,127.90	Professional		$405.72	$730.30	$1,127.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $159.71 / $234.62	Facility		$159.71	$159.71	$234.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $232.30 / $249.28	Professional		$191.65	$232.30	$249.28
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 $170.00 / $250.76 / $694.94	Professional		$170.00	$250.76	$694.94
United Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $354.22 / $522.89	Professional		$134.94	$354.22	$522.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $234.62 / $234.62	Facility		$125.60	$234.62	$234.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $232.30 / $249.28	Professional		$125.60	$232.30	$249.28