Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $95.97 / $172.26	Facility		$61.17	$95.97	$172.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $61.52 / $110.74	Professional		$47.99	$61.52	$110.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $159.94	Facility		$61.52	$61.52	$159.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $44.90 / $120.04	Professional		$24.61	$44.90	$120.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $61.52 / $61.52	Facility		$36.90	$61.52	$61.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Professional		$61.52	$61.52	$61.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $129.97 / $215.42	Facility		$75.34	$129.97	$215.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $95.39 / $199.76	Professional		$37.24	$95.39	$199.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $110.25 / $332.00	Facility		$73.81	$110.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $64.18 / $112.58	Professional		$43.06	$64.18	$112.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $58.44 / $109.72	Professional		$49.22	$58.44	$109.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $149.84 / $254.50	Facility		$59.99	$149.84	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $80.00 / $184.56	Professional		$39.99	$80.00	$184.56
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $36.90 / $96.58	Professional		$25.84	$36.90	$96.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $61.52 / $72.41	Professional		$52.29	$61.52	$72.41