Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.33 / $532.88 / $920.44	Facility		$250.33	$532.88	$920.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $235.94 / $274.52	Professional		$190.19	$235.94	$274.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $839.70	Facility		$322.95	$322.95	$839.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $484.34	Professional		$5.95	$5.95	$484.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Facility		$322.95	$322.95	$322.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $235.76 / $322.95 / $322.95	Professional		$235.76	$322.95	$322.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $654.32 / $838.45	Facility		$387.55	$654.32	$838.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $471.01 / $1,556.67	Professional		$209.93	$471.01	$1,556.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $419.85 / $726.66	Facility		$294.00	$419.85	$726.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $436.00 / $700.82	Professional		$339.11	$436.00	$700.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $322.95 / $585.62	Professional		$274.52	$322.95	$585.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $394.88 / $788.34 / $838.45	Facility		$394.88	$788.34	$838.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $352.03 / $807.78	Professional		$233.25	$352.03	$807.78
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $500.59	Professional		$135.63	$193.78	$500.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $371.40 / $371.40	Facility		$322.95	$371.40	$371.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $322.95 / $388.17	Professional		$274.52	$322.95	$388.17