Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.79 / $189.30 / $243.00	Facility		$114.79	$189.30	$243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $169.98 / $242.23	Professional		$114.79	$169.98	$242.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $63.00 / $262.33	Professional		$53.55	$63.00	$262.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $208.60 / $208.60	Facility		$194.00	$208.60	$208.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $208.60 / $208.60	Professional		$208.60	$208.60	$208.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $1,116.31	Professional		$191.36	$191.36	$1,116.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.26 / $271.18 / $469.35	Facility		$175.26	$271.18	$469.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $375.48 / $579.91	Professional		$208.60	$375.48	$579.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $219.79 / $379.14	Professional		$184.10	$219.79	$379.14
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 $162.44 / $191.36 / $851.09	Professional		$162.44	$191.36	$851.09
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $260.75 / $479.18	Professional		$187.74	$260.75	$479.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.27 / $173.27 / $246.70	Facility		$173.27	$173.27	$246.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $246.70 / $246.70	Professional		$184.10	$246.70	$246.70