Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $288.40 / $407.38	Facility		$120.23	$288.40	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $316.23	Professional		$147.91	$194.98	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $724.44	Facility		$363.08	$363.08	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $616.60	Professional		$208.93	$208.93	$616.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $295.12 / $295.12	Facility		$275.42	$295.12	$295.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $645.65 / $50,118.72	Facility		$229.09	$645.65	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $398.11	Professional		$165.96	$165.96	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,412.54	Facility		$363.08	$602.56	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $707.95	Professional		$223.87	$380.19	$707.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $123.03	Facility		$117.49	$117.49	$123.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $229.09	Professional		$117.49	$213.80	$229.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $50,118.72 / $75,857.76	Facility		$251.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $346.74	Professional		$239.88	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $302.00 / $489.78	Facility		$147.91	$302.00	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $309.03	Professional		$120.23	$186.21	$309.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $213.80	Facility		$117.49	$204.17	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $229.09	Professional		$117.49	$213.80	$229.09