Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $562.34	Facility		$239.88	$309.03	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $251.19	Facility		$239.88	$239.88	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Facility		$208.93	$208.93	$223.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $229.09 / $354.81	Facility		$218.78	$229.09	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $269.15	Professional		$239.88	$239.88	$269.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $812.83	Facility		$229.09	$295.12	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $302.00	Professional		$251.19	$263.03	$302.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Facility		$234.42	$234.42	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Professional		$234.42	$245.47	$245.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $50,118.72 / $75,857.76	Facility		$302.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $288.40	Professional		$223.87	$239.88	$288.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $281.84	Facility		$234.42	$234.42	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $245.47	Professional		$234.42	$245.47	$245.47