Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $380.19	Facility		$144.54	$269.15	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $281.84	Professional		$138.04	$173.78	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $691.83	Facility		$338.84	$338.84	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $524.81	Professional		$181.97	$190.55	$524.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $281.84 / $281.84	Facility		$257.04	$281.84	$281.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $549.54 / $50,118.72	Facility		$190.55	$549.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $338.84	Professional		$141.25	$141.25	$338.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,318.26	Facility		$338.84	$562.34	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $660.69	Professional		$213.80	$363.08	$660.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Facility		$263.03	$263.03	$275.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $263.03	Professional		$213.80	$223.87	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $50,118.72 / $75,857.76	Facility		$562.34	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $331.13	Professional		$223.87	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $354.81 / $416.87	Facility		$125.89	$354.81	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $288.40	Professional		$112.20	$169.82	$288.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $309.03	Facility		$223.87	$263.03	$309.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $263.03	Professional		$213.80	$223.87	$263.03