Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $549.54 / $776.25	Facility		$251.19	$549.54	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $602.56	Professional		$288.40	$380.19	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $1,096.48	Professional		$407.38	$426.58	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Facility		$524.81	$562.34	$562.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,230.27 / $50,118.72	Facility		$467.74	$1,230.27	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $676.08	Professional		$346.74	$346.74	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,630.27	Facility		$691.83	$1,148.15	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,348.96	Professional		$426.58	$758.58	$1,348.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $436.52	Professional		$275.42	$407.38	$436.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $660.69	Professional		$457.09	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $537.03 / $933.25	Facility		$281.84	$537.03	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $575.44	Professional		$223.87	$363.08	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $407.38	Facility		$275.42	$389.05	$407.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $436.52	Professional		$275.42	$407.38	$436.52