Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $596.65 / $1,069.46	Facility		$262.68	$596.65	$1,069.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $246.73 / $318.95	Professional		$198.88	$246.73	$318.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $419.12	Professional		$131.80	$131.80	$419.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $375.25 / $375.25	Facility		$375.25	$375.25	$375.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $375.25 / $375.25	Professional		$273.93	$375.25	$375.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.30 / $792.71 / $973.38	Facility		$450.30	$792.71	$973.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.04 / $1,808.71 / $1,808.71	Professional		$457.04	$1,808.71	$1,808.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $487.83 / $844.31	Facility		$294.00	$487.83	$844.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $394.01 / $495.33 / $814.29	Professional		$394.01	$495.33	$814.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $375.25 / $680.44	Professional		$318.95	$375.25	$680.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $450.30 / $915.21 / $973.38	Facility		$450.30	$915.21	$973.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $243.91 / $281.44 / $863.08	Professional		$243.91	$281.44	$863.08
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $215.32 / $568.72	Professional		$157.61	$215.32	$568.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $431.53 / $431.53	Facility		$375.25	$431.53	$431.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $375.25 / $451.02	Professional		$318.95	$375.25	$451.02