Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.24 / $703.42 / $1,262.55	Facility		$365.24	$703.42	$1,262.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $351.71 / $654.80	Professional		$225.46	$351.71	$654.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $450.91 / $1,172.36	Facility		$450.91	$450.91	$1,172.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $180.36 / $927.84	Professional		$151.83	$180.36	$927.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $270.55 / $450.91 / $450.91	Facility		$270.55	$450.91	$450.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $329.16 / $450.91 / $450.91	Professional		$329.16	$450.91	$450.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.47 / $952.54 / $1,203.41	Facility		$551.47	$952.54	$1,203.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.61 / $658.26 / $1,463.74	Professional		$273.61	$658.26	$1,463.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $610.00 / $1,240.00	Facility		$319.00	$610.00	$1,240.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $315.64 / $470.43 / $825.17	Professional		$315.64	$470.43	$825.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $428.36 / $804.22	Professional		$360.73	$428.36	$804.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $952.54 / $1,203.41	Facility		$254.50	$952.54	$1,203.41
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $588.71 / $1,352.73	Professional		$145.00	$588.71	$1,352.73
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $698.91	Professional		$189.38	$270.55	$698.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $477.97 / $477.97 / $477.97	Facility		$477.97	$477.97	$477.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $383.27 / $450.91 / $530.72	Professional		$383.27	$450.91	$530.72