Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $346.74 / $562.34	Facility		$158.49	$346.74	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $309.03	Professional		$112.20	$158.49	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $478.63	Facility		$186.21	$186.21	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $354.81	Professional		$74.13	$74.13	$354.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $186.21	Facility		$112.20	$186.21	$186.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $186.21	Professional		$134.90	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $398.11 / $478.63	Facility		$120.23	$398.11	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $891.25	Professional		$112.20	$229.09	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $512.86	Facility		$144.54	$234.42	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $354.81	Professional		$128.82	$158.49	$354.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $331.13	Professional		$100.00	$177.83	$331.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $50,118.72	Facility		$186.21	$346.74	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Professional		$186.21	$186.21	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $223.87	Facility		$165.96	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $245.47	Professional		$77.62	$112.20	$245.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $204.17	Facility		$93.33	$112.20	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $331.13	Professional		$112.20	$177.83	$331.13