Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $489.78 / $691.83	Facility		$223.87	$489.78	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $524.81	Professional		$263.03	$323.59	$524.81
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 $338.84 / $338.84 / $1,047.13	Professional		$338.84	$338.84	$1,047.13
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 $407.38 / $1,000.00 / $50,118.72	Facility		$407.38	$1,000.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $616.60	Professional		$295.12	$295.12	$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 / $660.69 / $1,202.26	Professional		$389.05	$660.69	$1,202.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Facility		$436.52	$436.52	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $436.52	Professional		$371.54	$389.05	$436.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $50,118.72 / $75,857.76	Facility		$933.25	$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 $229.09 / $645.65 / $758.58	Facility		$229.09	$645.65	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $512.86	Professional		$204.17	$331.13	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $407.38 / $457.09	Facility		$371.54	$407.38	$457.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $436.52	Professional		$371.54	$389.05	$436.52