Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.61 / $280.14 / $488.21	Facility		$173.61	$280.14	$488.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $208.54 / $357.56	Professional		$147.97	$208.54	$357.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $224.31 / $492.82	Professional		$176.90	$224.31	$492.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $38.32 / $272.22	Facility		$38.32	$38.32	$272.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $272.22 / $310.54	Professional		$38.32	$272.22	$310.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.87 / $645.04 / $1,620.27	Facility		$491.87	$645.04	$1,620.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $290.54 / $805.30	Professional		$164.21	$290.54	$805.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.60 / $250.00 / $479.79	Facility		$154.60	$250.00	$479.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $247.35 / $424.58	Professional		$180.49	$247.35	$424.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $85.85 / $85.85	Facility		$85.85	$85.85	$85.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $192.99 / $331.59	Professional		$85.85	$192.99	$331.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $645.04 / $1,525.68	Facility		$254.50	$645.04	$1,525.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $309.33 / $706.71	Professional		$164.21	$309.33	$706.71
United Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $248.09 / $554.63	Professional		$170.91	$248.09	$554.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.85 / $221.85 / $433.90	Facility		$221.85	$221.85	$433.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $279.45 / $491.67	Professional		$149.61	$279.45	$491.67