Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.13 / $414.66 / $730.21	Facility		$200.13	$414.66	$730.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $221.67 / $552.88	Professional		$193.61	$221.67	$552.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $260.79 / $678.05	Facility		$260.79	$260.79	$678.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $178.03 / $622.77	Professional		$128.78	$178.03	$622.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.47 / $260.79 / $260.79	Facility		$156.47	$260.79	$260.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.38 / $260.79 / $260.79	Professional		$190.38	$260.79	$260.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.12 / $550.91 / $695.77	Facility		$319.12	$550.91	$695.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.91 / $421.64 / $1,044.35	Professional		$175.91	$421.64	$1,044.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $282.00 / $586.78	Facility		$62.00	$282.00	$586.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $272.08 / $477.25	Professional		$182.55	$272.08	$477.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $247.75 / $472.89	Professional		$159.56	$247.75	$472.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.27 / $597.00 / $695.77	Facility		$254.27	$597.00	$695.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $380.27 / $840.98	Professional		$145.00	$380.27	$840.98
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $156.47 / $409.40	Professional		$109.53	$156.47	$409.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $238.97 / $276.44 / $276.44	Facility		$238.97	$276.44	$276.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.75 / $260.79 / $557.44	Professional		$173.75	$260.79	$557.44