Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $104.71 / $147.91	Facility		$43.65	$104.71	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $102.33	Professional		$48.98	$69.18	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $269.15	Facility		$134.90	$134.90	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $199.53	Professional		$69.18	$72.44	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $109.65	Facility		$102.33	$109.65	$109.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $213.80 / $50,118.72	Facility		$91.20	$213.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $131.83	Professional		$67.61	$67.61	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $512.86	Facility		$134.90	$218.78	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $257.04	Professional		$83.18	$141.25	$257.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Facility		$45.71	$45.71	$47.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $83.18	Professional		$45.71	$79.43	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $50,118.72 / $75,857.76	Facility		$97.72	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $128.82	Professional		$87.10	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $72.44 / $154.88	Facility		$47.86	$72.44	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $112.20	Professional		$43.65	$66.07	$112.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $74.13 / $79.43	Facility		$45.71	$74.13	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $83.18	Professional		$45.71	$79.43	$83.18