Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $281.84 / $398.11	Facility		$128.82	$281.84	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $354.81	Professional		$147.91	$194.98	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $707.95	Facility		$354.81	$354.81	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $602.56	Professional		$218.78	$218.78	$602.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $295.12 / $295.12	Facility		$269.15	$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 $245.47 / $630.96 / $50,118.72	Facility		$245.47	$630.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $354.81	Professional		$177.83	$177.83	$354.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $588.84 / $1,380.38	Facility		$354.81	$588.84	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $691.83	Professional		$223.87	$389.05	$691.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $158.49	Facility		$151.36	$151.36	$158.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $223.87	Professional		$151.36	$208.93	$223.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $50,118.72 / $75,857.76	Facility		$323.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $338.84	Professional		$234.42	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $478.63	Facility		$144.54	$281.84	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $295.12	Professional		$117.49	$190.55	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $208.93	Facility		$151.36	$199.53	$208.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $223.87	Professional		$151.36	$208.93	$223.87