Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $426.58	Facility		$147.91	$281.84	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $346.74	Professional		$141.25	$186.21	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $707.95	Facility		$346.74	$346.74	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $537.03	Professional		$190.55	$199.53	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $288.40 / $288.40	Facility		$269.15	$288.40	$288.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $562.34 / $50,118.72	Facility		$213.80	$562.34	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $407.38	Professional		$154.88	$154.88	$407.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $1,348.96	Facility		$346.74	$575.44	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $676.08	Professional		$218.78	$371.54	$676.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Facility		$251.19	$251.19	$263.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $251.19	Professional		$208.93	$218.78	$251.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $338.84	Professional		$229.09	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $363.08 / $426.58	Facility		$128.82	$363.08	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $295.12	Professional		$114.82	$173.78	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $263.03	Facility		$194.98	$208.93	$263.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $251.19	Professional		$208.93	$218.78	$251.19