Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $616.60 / $812.83	Facility		$309.03	$616.60	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $380.19	Professional		$309.03	$371.54	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $380.19 / $50,118.72	Facility		$85.11	$380.19	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,995.26	Professional		$380.19	$380.19	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $426.58 / $954.99	Facility		$81.28	$426.58	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $81.28	Professional		$69.18	$81.28	$81.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
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
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $524.81	Professional		$316.23	$389.05	$524.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $85.11	Facility		$54.95	$81.28	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28