Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,981.07 / $10,964.78	Facility		$1,513.56	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $467.74	Professional		$102.33	$173.78	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $275.42	Professional		$138.04	$165.96	$275.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $50,118.72	Facility		$281.84	$281.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $794.33 / $794.33	Professional		$190.55	$794.33	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $660.69	Facility		$173.78	$295.12	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $389.05	Professional		$190.55	$263.03	$389.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $371.54	Professional		$151.36	$218.78	$371.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $501.19	Professional		$141.25	$213.80	$501.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $239.88	Facility		$128.82	$186.21	$239.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $398.11	Professional		$128.82	$208.93	$398.11