Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $416.87 / $588.84	Facility		$190.55	$416.87	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $363.08	Professional		$181.97	$223.87	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,071.52	Facility		$524.81	$524.81	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $269.15 / $794.33	Professional		$263.03	$269.15	$794.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $436.52 / $436.52	Facility		$407.38	$436.52	$436.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $50,118.72	Facility		$275.42	$691.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $512.86	Professional		$199.53	$199.53	$512.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $2,041.74	Facility		$524.81	$870.96	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,023.29	Professional		$331.13	$562.34	$1,023.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Facility		$380.19	$380.19	$398.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $380.19	Professional		$316.23	$331.13	$380.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $512.86	Professional		$346.74	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $446.68 / $524.81	Facility		$162.18	$446.68	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $436.52	Professional		$173.78	$269.15	$436.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $380.19 / $446.68	Facility		$295.12	$380.19	$446.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $380.19	Professional		$316.23	$331.13	$380.19