Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $134.35 / $224.77	Facility		$77.25	$134.35	$224.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $103.88 / $198.41	Professional		$66.59	$103.88	$198.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $106.04 / $245.86	Professional		$81.12	$106.04	$245.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $27.69 / $118.96	Facility		$27.69	$27.69	$118.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $118.96 / $146.65	Professional		$27.69	$118.96	$146.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.00 / $285.47 / $1,099.95	Facility		$219.00	$285.47	$1,099.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $155.54 / $378.49	Professional		$77.38	$155.54	$378.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.08 / $126.67 / $332.00	Facility		$71.08	$126.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $137.26 / $208.25	Professional		$94.66	$137.26	$208.25
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 $35.35 / $93.65 / $160.44	Professional		$35.35	$93.65	$160.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.24 / $285.47 / $933.37	Facility		$214.24	$285.47	$933.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $155.30 / $405.70	Professional		$88.14	$155.30	$405.70
United Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $125.14 / $249.68	Professional		$91.72	$125.14	$249.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.35 / $107.35 / $484.21	Facility		$107.35	$107.35	$484.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $135.22 / $290.48	Professional		$79.51	$135.22	$290.48