Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.11 / $206.32 / $302.29	Facility		$125.11	$206.32	$302.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $211.46 / $264.01	Professional		$125.11	$211.46	$264.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $63.00 / $285.92	Professional		$53.55	$63.00	$285.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.18 / $234.60 / $234.60	Facility		$218.18	$234.60	$234.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $234.60 / $234.60	Professional		$234.60	$234.60	$234.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.10 / $1,389.17	Professional		$238.10	$238.10	$1,389.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $304.98 / $527.85	Facility		$191.02	$304.98	$527.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $422.28 / $652.19	Professional		$234.60	$422.28	$652.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.65 / $273.51 / $471.80	Professional		$200.65	$273.51	$471.80
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 $177.05 / $238.10 / $957.17	Professional		$177.05	$238.10	$957.17
United Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $293.25 / $538.13	Professional		$199.41	$293.25	$538.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $188.85 / $188.85 / $306.95	Facility		$188.85	$188.85	$306.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.65 / $306.95 / $306.95	Professional		$200.65	$306.95	$306.95