Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.57 / $159.91 / $178.48	Facility		$108.57	$159.91	$178.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $159.91 / $201.00	Professional		$108.57	$159.91	$201.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $187.86 / $298.50	Professional		$155.61	$187.86	$298.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $253.27 / $253.27 / $253.27	Facility		$253.27	$253.27	$253.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $253.27 / $253.27 / $253.27	Professional		$253.27	$253.27	$253.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $182.89 / $182.89	Facility		$182.89	$182.89	$182.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $274.43 / $573.80	Facility		$172.91	$274.43	$573.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $251.93 / $366.57	Professional		$172.91	$251.93	$366.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $149.96 / $157.78	Facility		$131.16	$149.96	$157.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $167.95 / $269.29	Professional		$131.16	$167.95	$269.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $182.89 / $74,999.25	Facility		$182.89	$182.89	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $153.63 / $394.52	Professional		$141.06	$153.63	$394.52
United Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $199.97 / $420.27	Professional		$133.59	$199.97	$420.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $173.15 / $173.15	Facility		$149.96	$173.15	$173.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $173.15 / $292.06	Professional		$141.97	$173.15	$292.06