Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $707.95	Facility		$223.87	$489.78	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $602.56	Professional		$257.04	$354.81	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,258.93	Facility		$630.96	$630.96	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $1,000.00	Professional		$371.54	$389.05	$1,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $512.86 / $512.86	Facility		$478.63	$512.86	$512.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $50,118.72	Facility		$457.09	$1,096.48	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $616.60	Professional		$331.13	$331.13	$616.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $2,398.83	Facility		$630.96	$1,023.29	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,202.26	Professional		$389.05	$691.83	$1,202.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Facility		$354.81	$354.81	$371.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $389.05	Professional		$354.81	$371.54	$389.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $50,118.72 / $75,857.76	Facility		$758.58	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $602.56	Professional		$407.38	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $489.78 / $831.76	Facility		$251.19	$489.78	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $512.86	Professional		$204.17	$338.84	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $371.54 / $380.19	Facility		$354.81	$371.54	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $389.05	Professional		$354.81	$371.54	$389.05