Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $105.19 / $285.08	Facility		$86.99	$105.19	$285.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $122.35 / $285.08	Professional		$86.99	$122.35	$285.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $158.40 / $382.86	Professional		$128.91	$158.40	$382.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.12 / $77.12 / $148.86	Facility		$77.12	$77.12	$148.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $148.86 / $225.98	Professional		$77.12	$148.86	$225.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $141.76 / $363.53	Facility		$103.79	$141.76	$363.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $131.51 / $289.92	Professional		$73.75	$131.51	$289.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.27 / $82.24 / $332.00	Facility		$44.27	$82.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $126.13 / $220.55	Professional		$100.25	$126.13	$220.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $124.76 / $223.59	Professional		$85.22	$124.76	$223.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $141.76 / $460.46	Facility		$103.79	$141.76	$460.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $150.00 / $347.58	Professional		$74.64	$150.00	$347.58
United Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $165.41 / $495.57	Professional		$111.36	$165.41	$495.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $122.69 / $641.84	Facility		$122.69	$122.69	$641.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $159.25 / $277.38	Professional		$85.64	$159.25	$277.38