Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $354.81	Facility		$165.96	$245.47	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $446.68	Professional		$128.82	$213.80	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $549.54	Professional		$173.78	$218.78	$549.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $6,165.95	Facility		$190.55	$190.55	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $302.00	Professional		$190.55	$190.55	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $234.42 / $50,118.72	Facility		$34.67	$234.42	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $776.25	Professional		$151.36	$281.84	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $407.38	Facility		$100.00	$162.18	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $588.84	Professional		$302.00	$407.38	$588.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $489.78	Professional		$181.97	$309.03	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $537.03	Professional		$257.04	$389.05	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $562.34	Professional		$128.82	$218.78	$562.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $616.60	Facility		$112.20	$165.96	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $537.03	Professional		$186.21	$275.42	$537.03