Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $103.49 / $188.35	Facility		$71.20	$103.49	$188.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $83.54 / $143.72	Professional		$62.81	$83.54	$143.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $72.86 / $196.48	Professional		$55.73	$72.86	$196.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $82.97	Facility		$38.04	$38.04	$82.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $82.97 / $121.02	Professional		$38.04	$82.97	$121.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $196.27 / $541.14	Facility		$121.94	$196.27	$541.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $118.16 / $261.79	Professional		$64.72	$118.16	$261.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $84.46 / $332.00	Facility		$47.19	$84.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.13 / $110.99 / $166.12	Professional		$82.13	$110.99	$166.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $97.16 / $174.13	Professional		$58.63	$97.16	$174.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.58 / $197.08 / $555.00	Facility		$97.58	$197.08	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $118.52 / $241.77	Professional		$65.06	$118.52	$241.77
United Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $90.77 / $182.86	Professional		$66.73	$90.77	$182.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $95.55 / $319.80	Facility		$95.55	$95.55	$319.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $119.95 / $225.00	Professional		$80.22	$119.95	$225.00