Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $467.74 / $741.31	Facility		$208.93	$467.74	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $239.88	Professional		$134.90	$186.21	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Facility		$245.47	$245.47	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $199.53	Professional		$45.71	$45.71	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $245.47	Professional		$181.97	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $630.96	Facility		$162.18	$524.81	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,202.26 / $1,202.26	Professional		$281.84	$1,202.26	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $954.99	Facility		$245.47	$407.38	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $478.63	Professional		$114.82	$147.91	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $275.42	Professional		$154.88	$245.47	$275.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $467.74 / $50,118.72	Facility		$323.59	$467.74	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $295.12	Facility		$147.91	$223.87	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $371.54	Professional		$104.71	$141.25	$371.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $281.84	Facility		$147.91	$245.47	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $281.84	Professional		$151.36	$245.47	$281.84