Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $457.09 / $645.65	Facility		$199.53	$457.09	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $512.86	Professional		$234.42	$316.23	$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 $338.84 / $338.84 / $954.99	Professional		$338.84	$338.84	$954.99
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 $16.22 / $87.10 / $933.25	Facility		$16.22	$87.10	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $575.44	Professional		$239.88	$239.88	$575.44
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 $338.84 / $602.56 / $1,122.02	Professional		$338.84	$602.56	$1,122.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Facility		$338.84	$338.84	$354.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $380.19	Professional		$338.84	$363.08	$380.19
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $50,118.72 / $75,857.76	Facility		$724.44	$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 $199.53 / $323.59 / $707.95	Facility		$199.53	$323.59	$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 $338.84 / $354.81 / $363.08	Facility		$338.84	$354.81	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $380.19	Professional		$338.84	$363.08	$380.19