Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $354.81	Facility		$57.54	$74.13	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $138.04	Professional		$40.74	$52.48	$138.04
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 $50.12 / $61.66 / $131.83	Professional		$50.12	$61.66	$131.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $85.11 / $50,118.72	Facility		$34.67	$85.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $229.09	Professional		$58.88	$102.33	$229.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $173.78	Facility		$53.70	$70.79	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $89.13	Professional		$50.12	$66.07	$89.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $102.33	Professional		$33.88	$58.88	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $50,118.72 / $75,857.76	Facility		$54.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $398.11	Professional		$63.10	$85.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $147.91	Professional		$45.71	$66.07	$147.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $181.97	Facility		$39.81	$52.48	$181.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $158.49	Professional		$39.81	$58.88	$158.49