Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $252.30 / $422.97	Facility		$128.91	$252.30	$422.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $114.86 / $160.59	Professional		$78.66	$114.86	$160.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $385.87	Facility		$148.41	$148.41	$385.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $89.78 / $334.93	Professional		$67.53	$89.78	$334.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $148.41 / $148.41	Facility		$89.05	$148.41	$148.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $148.41 / $148.41	Professional		$108.34	$148.41	$148.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.70 / $300.32 / $1,524.56	Facility		$103.70	$300.32	$1,524.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $166.93 / $953.00	Professional		$101.80	$166.93	$953.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $192.93 / $333.92	Facility		$80.30	$192.93	$333.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $89.05 / $271.58	Professional		$67.81	$89.05	$271.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $148.41	Facility		$148.41	$148.41	$148.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $148.41 / $191.45	Professional		$130.80	$148.41	$191.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $136.02 / $324.33 / $1,502.07	Facility		$136.02	$324.33	$1,502.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $204.00 / $318.27	Professional		$113.34	$204.00	$318.27
United Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $133.57 / $148.41	Facility		$133.57	$133.57	$148.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $89.05 / $224.93	Professional		$62.33	$89.05	$224.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.67 / $170.67 / $546.79	Facility		$170.67	$170.67	$546.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $166.68 / $197.03	Professional		$130.80	$166.68	$197.03