Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $457.09 / $645.65	Facility		$194.98	$457.09	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $512.86	Professional		$223.87	$295.12	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,148.15	Facility		$575.44	$575.44	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $977.24	Professional		$323.59	$323.59	$977.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $478.63 / $478.63	Facility		$436.52	$478.63	$478.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $933.25 / $50,118.72	Facility		$323.59	$933.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $676.08	Professional		$239.88	$239.88	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $2,238.72	Facility		$575.44	$954.99	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,122.02	Professional		$363.08	$602.56	$1,122.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Facility		$407.38	$407.38	$436.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $407.38	Professional		$338.84	$363.08	$407.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $50,118.72 / $75,857.76	Facility		$891.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $549.54	Professional		$380.19	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $602.56 / $707.95	Facility		$213.80	$602.56	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $489.78	Professional		$190.55	$288.40	$489.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $489.78	Facility		$323.59	$407.38	$489.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $407.38	Professional		$338.84	$363.08	$407.38