Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $174.86 / $327.39	Facility		$107.04	$174.86	$327.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $167.84 / $241.61	Professional		$123.65	$167.84	$241.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $240.88 / $240.88 / $240.88	Professional	25	$240.88	$240.88	$240.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $130.12 / $248.32	Professional		$0.79	$130.12	$248.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $232.60 / $232.60 / $232.60	Facility		$232.60	$232.60	$232.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $232.60 / $232.60 / $232.60	Professional		$232.60	$232.60	$232.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $130.91 / $395.80	Professional		$106.70	$130.91	$395.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $221.79 / $450.36	Facility		$78.00	$221.79	$450.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.16 / $307.10 / $556.44	Professional		$200.16	$307.10	$556.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $170.61 / $170.61	Facility		$149.16	$170.61	$170.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $170.61 / $203.02	Professional		$55.75	$170.61	$203.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $200.16 / $395.80	Professional		$84.90	$200.16	$395.80
Optum Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $177.57 / $346.09	Professional		$150.00	$177.57	$346.09
United Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $189.99 / $369.10	Professional		$119.64	$189.99	$369.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.61 / $175.50 / $278.14	Facility		$170.61	$175.50	$278.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $175.50 / $488.12	Professional		$55.75	$175.50	$488.12