Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.02 / $238.43 / $373.44	Facility		$170.02	$238.43	$373.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $295.50 / $308.51	Professional		$170.02	$295.50	$308.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.60 / $463.60 / $927.20	Facility		$463.60	$463.60	$927.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.16 / $226.16 / $633.24	Professional		$226.16	$226.16	$633.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $272.93 / $272.93 / $386.24	Facility		$272.93	$272.93	$386.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $272.93 / $272.93	Professional		$272.93	$272.93	$272.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $208.25	Professional		$208.25	$208.25	$208.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $602.67 / $1,043.09	Facility		$319.00	$602.67	$1,043.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $834.48 / $1,288.81	Professional		$463.60	$834.48	$1,288.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.50 / $231.50 / $268.10	Facility		$231.50	$231.50	$268.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $268.10 / $284.86	Professional		$265.45	$268.10	$284.86
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 $208.25 / $286.52 / $794.07	Professional		$208.25	$286.52	$794.07
United Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $404.74 / $597.48	Professional		$154.19	$404.74	$597.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.80 / $268.10 / $268.10	Facility		$132.80	$268.10	$268.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $265.45 / $284.86	Professional		$132.80	$265.45	$284.86