Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $467.74	Facility		$114.82	$204.17	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $380.19	Professional		$107.15	$134.90	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $398.11	Professional		$109.65	$138.04	$398.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $112.20	Facility		$77.62	$77.62	$112.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $190.55	Professional		$77.62	$112.20	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $4,168.69	Facility		$199.53	$269.15	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $794.33	Professional		$114.82	$257.04	$794.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $257.04	Facility		$61.66	$97.72	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $269.15	Professional		$131.83	$173.78	$269.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $309.03	Professional		$104.71	$190.55	$309.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $53,703.18	Facility		$97.72	$151.36	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $338.84	Professional		$162.18	$194.98	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $9,120.11	Facility		$5,011.87	$7,244.36	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $512.86	Professional		$107.15	$154.88	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $1,380.38	Facility		$75.86	$104.71	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $346.74	Professional		$104.71	$190.55	$346.74