Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $346.74 / $562.34	Facility		$158.49	$346.74	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $194.98	Professional		$112.20	$147.91	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $436.52	Professional		$229.09	$229.09	$436.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $186.21	Professional		$134.90	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $398.11 / $478.63	Facility		$120.23	$398.11	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $891.25 / $891.25	Professional		$186.21	$891.25	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $707.95	Facility		$186.21	$309.03	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $363.08	Professional		$194.98	$251.19	$363.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $331.13	Professional		$154.88	$177.83	$331.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $50,118.72	Facility		$239.88	$346.74	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Professional		$186.21	$186.21	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $223.87	Facility		$165.96	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $245.47	Professional		$77.62	$112.20	$245.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $213.80	Facility		$112.20	$186.21	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $363.08	Professional		$154.88	$186.21	$363.08