Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $524.81	Facility		$173.78	$316.23	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $288.40	Professional		$104.71	$147.91	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $457.09	Facility		$173.78	$173.78	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $338.84	Professional		$70.79	$70.79	$338.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $173.78	Facility		$104.71	$173.78	$173.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $173.78	Professional		$128.82	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $371.54 / $457.09	Facility		$114.82	$371.54	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $851.14	Professional		$104.71	$218.78	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $478.63	Facility		$138.04	$223.87	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $331.13	Professional		$123.03	$147.91	$331.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $316.23	Professional		$107.15	$165.96	$316.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $50,118.72	Facility		$229.09	$331.13	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $208.93	Facility		$158.49	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $229.09	Professional		$74.13	$104.71	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $128.82 / $194.98	Facility		$107.15	$128.82	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $316.23	Professional		$112.20	$165.96	$316.23