Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $457.09 / $776.25	Facility		$257.04	$457.09	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $416.87	Professional		$158.49	$204.17	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $660.69	Facility		$257.04	$257.04	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $426.58	Professional		$102.33	$102.33	$426.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $257.04	Facility		$151.36	$257.04	$257.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $257.04	Professional		$186.21	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $549.54 / $912.01	Facility		$169.82	$549.54	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $1,230.27	Professional		$154.88	$338.84	$1,230.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $707.95	Facility		$213.80	$331.13	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $478.63	Professional		$177.83	$251.19	$478.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $457.09	Professional		$218.78	$251.19	$457.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $50,118.72	Facility		$331.13	$478.63	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $269.15	Professional		$257.04	$257.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Facility		$229.09	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $331.13	Professional		$107.15	$151.36	$331.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $269.15	Facility		$218.78	$269.15	$269.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $602.56	Professional		$218.78	$257.04	$602.56