Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $200.25 / $326.13	Facility		$93.54	$200.25	$326.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $62.36 / $97.27	Professional		$62.36	$62.36	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $297.52	Facility		$114.43	$114.43	$297.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $78.72 / $171.61	Professional		$0.03	$78.72	$171.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Facility		$114.43	$114.43	$114.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $114.43 / $114.43	Professional		$83.53	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $231.77 / $296.99	Facility		$79.95	$231.77	$296.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $164.68 / $551.54	Professional		$66.94	$164.68	$551.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $240.30 / $346.00	Facility		$114.43	$240.30	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $67.51 / $213.98	Professional		$45.77	$67.51	$213.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $108.71 / $128.52	Professional		$71.67	$108.71	$128.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.57 / $242.94 / $305.51	Facility		$111.57	$242.94	$305.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $85.82 / $235.73	Professional		$74.38	$85.82	$235.73
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $62.94 / $165.92	Professional		$48.06	$62.94	$165.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $131.59 / $131.59	Facility		$114.43	$131.59	$131.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $114.43 / $137.54	Professional		$71.67	$114.43	$137.54