Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $173.78 / $245.47	Facility		$72.44	$173.78	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $194.98	Professional		$93.33	$117.49	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $446.68	Facility		$218.78	$218.78	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $371.54	Professional		$131.83	$131.83	$371.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $181.97	Facility		$169.82	$181.97	$181.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $398.11 / $50,118.72	Facility		$134.90	$398.11	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $239.88	Professional		$100.00	$100.00	$239.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $851.14	Facility		$218.78	$363.08	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $426.58	Professional		$138.04	$239.88	$426.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Facility		$69.18	$69.18	$72.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $138.04	Professional		$69.18	$131.83	$138.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $50,118.72 / $75,857.76	Facility		$147.91	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $213.80	Professional		$144.54	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $144.54 / $295.12	Facility		$85.11	$144.54	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $186.21	Professional		$72.44	$112.20	$186.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $131.83	Facility		$69.18	$123.03	$131.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $138.04	Professional		$69.18	$131.83	$138.04