Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $251.19	Facility		$117.49	$151.36	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $190.55	Professional		$97.72	$112.20	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $204.17	Professional		$91.20	$109.65	$204.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $50,118.72	Facility		$173.78	$173.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $446.68	Professional		$93.33	$169.82	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $436.52	Facility		$112.20	$181.97	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $223.87	Professional		$112.20	$158.49	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $229.09	Professional		$93.33	$134.90	$229.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $281.84	Professional		$131.83	$158.49	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $295.12	Professional		$93.33	$125.89	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $416.87	Facility		$87.10	$125.89	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $354.81	Professional		$87.10	$134.90	$354.81