Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $316.00 / $556.47	Facility		$126.62	$316.00	$556.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $90.21 / $121.78	Professional		$87.73	$90.21	$121.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $198.74 / $516.72	Facility		$198.74	$198.74	$516.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $223.40	Professional		$45.77	$45.77	$223.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $148.96	Facility		$148.96	$148.96	$148.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $148.96 / $148.96	Professional		$108.74	$148.96	$148.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.99 / $301.73 / $386.63	Facility		$181.99	$301.73	$386.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $290.05 / $957.93	Professional		$96.83	$290.05	$957.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $327.92 / $447.17	Facility		$198.74	$327.92	$447.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $262.33 / $431.27	Professional		$208.68	$262.33	$431.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $188.80 / $270.11	Professional		$126.62	$188.80	$270.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $363.53 / $520.79	Facility		$182.22	$363.53	$520.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $186.20 / $400.56	Professional		$107.59	$186.20	$400.56
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $89.38 / $238.63	Professional		$62.56	$89.38	$238.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $171.30 / $171.30	Facility		$148.96	$171.30	$171.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $163.86 / $214.37	Professional		$126.62	$163.86	$214.37