Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $281.84 / $446.68	Facility		$128.82	$281.84	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $158.49	Professional		$89.13	$120.23	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $218.78	Professional		$60.26	$60.26	$218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $151.36	Professional		$109.65	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $323.59 / $389.05	Facility		$97.72	$323.59	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $724.44	Professional		$151.36	$199.53	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $575.44	Facility		$151.36	$245.47	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $288.40	Professional		$158.49	$194.98	$288.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $269.15	Professional		$120.23	$144.54	$269.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $50,118.72	Facility		$194.98	$281.84	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $154.88	Professional		$151.36	$151.36	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $199.53	Professional		$63.10	$89.13	$199.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $173.78	Facility		$89.13	$151.36	$173.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $295.12	Professional		$128.82	$151.36	$295.12