Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.78 / $280.63 / $463.84	Facility		$168.78	$280.63	$463.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $196.93 / $462.75	Professional		$168.78	$196.93	$462.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $213.88 / $487.19	Professional		$163.61	$213.88	$487.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $40.60 / $248.35	Facility		$40.60	$40.60	$248.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $248.35 / $288.95	Professional		$40.60	$248.35	$288.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.58 / $589.04 / $1,804.65	Facility		$453.58	$589.04	$1,804.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.79 / $295.27 / $848.13	Professional		$146.79	$295.27	$848.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $234.05 / $406.44	Facility		$130.90	$234.05	$406.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $243.28 / $369.12	Professional		$179.67	$243.28	$369.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $194.76 / $291.57	Professional		$40.40	$194.76	$291.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $589.04 / $1,804.65	Facility		$254.50	$589.04	$1,804.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $312.17 / $720.22	Professional		$165.36	$312.17	$720.22
United Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $244.29 / $503.00	Professional		$176.16	$244.29	$503.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $195.08 / $195.08 / $585.78	Facility		$195.08	$195.08	$585.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $167.78 / $245.74 / $527.86	Professional		$167.78	$245.74	$527.86