Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $549.54	Facility		$234.42	$302.00	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $426.58	Professional		$234.42	$234.42	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Facility		$234.42	$234.42	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Facility		$1,096.48	$1,096.48	$1,148.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $1,819.70	Facility		$218.78	$218.78	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $302.00	Professional		$234.42	$234.42	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $831.76	Facility		$229.09	$295.12	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $363.08	Professional		$251.19	$263.03	$363.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $245.47	Facility		$239.88	$239.88	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $245.47	Professional		$239.88	$245.47	$245.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $50,118.72 / $75,857.76	Facility		$223.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $331.13	Professional		$281.84	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $309.03	Professional		$162.18	$234.42	$309.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $281.84	Facility		$239.88	$239.88	$281.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $245.47	Professional		$239.88	$245.47	$245.47