Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.59 / $461.43 / $828.21	Facility		$239.59	$461.43	$828.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $206.54 / $408.19	Professional		$161.21	$206.54	$408.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $295.79 / $769.05	Facility		$295.79	$295.79	$769.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $177.47 / $635.95	Professional		$118.32	$177.47	$635.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $295.79 / $295.79	Facility		$177.47	$295.79	$295.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $295.79 / $295.79	Professional		$215.93	$295.79	$295.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.88 / $624.85 / $918.65	Facility		$361.88	$624.85	$918.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $386.24 / $955.36	Professional		$179.33	$386.24	$955.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.45 / $319.00 / $665.53	Facility		$194.45	$319.00	$665.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $308.60 / $541.29	Professional		$207.05	$308.60	$541.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.24 / $179.24 / $179.24	Facility		$179.24	$179.24	$179.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $281.00 / $527.55	Professional		$179.24	$281.00	$527.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $721.95 / $918.65	Facility		$254.50	$721.95	$918.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.68 / $380.83 / $887.37	Professional		$179.68	$380.83	$887.37
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $448.29	Professional		$124.23	$177.47	$448.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $313.54 / $313.54 / $431.08	Facility		$313.54	$313.54	$431.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $295.79 / $431.08	Professional		$228.94	$295.79	$431.08