Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $285.89 / $10,978.00	Facility		$146.94	$285.89	$10,978.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $170.06 / $436.32	Professional		$138.68	$170.06	$436.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $179.34 / $548.10	Professional		$137.19	$179.34	$548.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $88.48 / $155.24	Facility		$88.48	$88.48	$155.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $155.24 / $243.73	Professional		$88.48	$155.24	$243.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.11 / $370.60 / $4,355.78	Facility		$272.11	$370.60	$4,355.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $316.52 / $735.63	Professional		$136.96	$316.52	$735.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $170.73 / $346.00	Facility		$95.63	$170.73	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $255.01 / $535.19	Professional		$177.47	$255.01	$535.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.10 / $111.10 / $111.10	Facility		$111.10	$111.10	$111.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $255.13 / $363.75	Professional		$140.22	$255.13	$363.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $370.88 / $4,355.78	Facility		$192.75	$370.88	$4,355.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $299.58 / $788.90	Professional		$153.88	$299.58	$788.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,106.57 / $7,194.46 / $9,495.19	Facility		$6,106.57	$7,194.46	$9,495.19
United Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $212.86 / $531.91	Professional		$148.28	$212.86	$531.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.61 / $199.61 / $1,665.53	Facility		$199.61	$199.61	$1,665.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $255.13 / $447.90	Professional		$173.21	$255.13	$447.90