Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,884.03 / $7,762.47	Facility		$144.54	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $354.81	Professional		$95.50	$134.90	$354.81
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 $97.72 / $125.89 / $316.23	Professional		$97.72	$125.89	$316.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $4,073.80	Facility		$138.04	$138.04	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $177.83	Professional		$138.04	$138.04	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $50,118.72	Facility		$34.67	$165.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $467.74	Professional		$109.65	$199.53	$467.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $112.20 / $323.59	Facility		$91.20	$112.20	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $257.04	Professional		$134.90	$177.83	$257.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $263.03	Professional		$102.33	$169.82	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $50,118.72 / $75,857.76	Facility		$107.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $331.13	Professional		$144.54	$173.78	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $331.13	Professional		$83.18	$128.82	$331.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $354.81	Facility		$79.43	$125.89	$354.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $338.84	Professional		$102.33	$162.18	$338.84