Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $173.78 / $190.55	Facility		$107.15	$173.78	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $199.53	Professional		$114.82	$158.49	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $302.00	Professional		$158.49	$186.21	$302.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $53,703.18	Facility		$245.47	$245.47	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $741.31	Professional		$141.25	$141.25	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $275.42 / $676.08	Facility		$173.78	$275.42	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $354.81	Professional		$181.97	$269.15	$354.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $151.36	Facility		$131.83	$151.36	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $281.84	Professional		$131.83	$169.82	$281.84
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 $204.17 / $251.19 / $281.84	Professional		$204.17	$251.19	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $416.87	Professional		$125.89	$199.53	$416.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $173.78	Facility		$131.83	$151.36	$173.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $275.42	Professional		$131.83	$173.78	$275.42