Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $147.91 / $208.93	Facility		$61.66	$147.91	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $162.18	Professional		$77.62	$107.15	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $371.54	Facility		$186.21	$186.21	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $288.40	Professional		$109.65	$112.20	$288.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $154.88 / $154.88	Facility		$141.25	$154.88	$154.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $323.59 / $50,118.72	Facility		$112.20	$323.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $199.53	Professional		$81.28	$81.28	$199.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $724.44	Facility		$186.21	$309.03	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $363.08	Professional		$117.49	$204.17	$363.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $52.48	Facility		$50.12	$50.12	$52.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $117.49	Professional		$50.12	$109.65	$117.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $50,118.72 / $75,857.76	Facility		$109.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $177.83	Professional		$123.03	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $120.23 / $245.47	Facility		$74.13	$120.23	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $158.49	Professional		$61.66	$97.72	$158.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $104.71 / $109.65	Facility		$50.12	$104.71	$109.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $117.49	Professional		$50.12	$109.65	$117.49