Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $426.58 / $616.60	Facility		$194.98	$426.58	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $363.08	Professional		$177.83	$251.19	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,096.48	Facility		$549.54	$549.54	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $851.14	Professional		$257.04	$257.04	$851.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $446.68 / $446.68	Facility		$416.87	$446.68	$446.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $776.25 / $50,118.72	Facility		$363.08	$776.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $537.03	Professional		$263.03	$263.03	$537.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $2,089.30	Facility		$549.54	$891.25	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,047.13	Professional		$331.13	$575.44	$1,047.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $346.74	Facility		$331.13	$331.13	$346.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $338.84	Professional		$323.59	$331.13	$338.84
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 $354.81 / $524.81 / $524.81	Professional		$354.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $575.44	Facility		$173.78	$331.13	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $446.68	Professional		$177.83	$281.84	$446.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $346.74	Facility		$323.59	$331.13	$346.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $338.84	Professional		$323.59	$331.13	$338.84