Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.54 / $147.83 / $247.84	Facility		$75.54	$147.83	$247.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $67.83 / $100.87	Professional		$46.09	$67.83	$100.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $86.96 / $226.10	Facility		$86.96	$86.96	$226.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $52.61 / $196.24	Professional		$41.47	$52.61	$196.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $86.96 / $86.96	Facility		$52.18	$86.96	$86.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $86.96 / $86.96	Professional		$63.48	$86.96	$86.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.77 / $175.95 / $892.61	Facility		$60.77	$175.95	$892.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $97.89 / $558.21	Professional		$64.64	$97.89	$558.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $113.05 / $332.00	Facility		$43.20	$113.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $52.18 / $159.13	Professional		$39.74	$52.18	$159.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $86.96 / $86.96	Facility		$86.96	$86.96	$86.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $86.96 / $115.39	Professional		$73.92	$86.96	$115.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $211.99 / $879.83	Facility		$79.69	$211.99	$879.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $119.52 / $179.14	Professional		$66.22	$119.52	$179.14
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $130.44	Professional		$36.52	$52.18	$130.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $320.23	Facility		$100.00	$100.00	$320.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $97.66 / $119.10	Professional		$71.00	$97.66	$119.10