Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.18 / $139.72 / $250.46	Facility		$71.18	$139.72	$250.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $58.10 / $87.88	Professional		$46.71	$58.10	$87.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $87.88 / $228.49	Facility		$87.88	$87.88	$228.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $44.81 / $146.15	Professional		$27.82	$44.81	$146.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $87.88 / $87.88	Facility		$52.73	$87.88	$87.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $87.88 / $87.88	Professional		$64.15	$87.88	$87.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $178.07 / $676.10	Facility		$61.41	$178.07	$676.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $89.13 / $423.58	Professional		$49.52	$89.13	$423.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $114.24 / $332.00	Facility		$37.10	$114.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $52.29 / $160.82	Professional		$37.88	$52.29	$160.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Facility		$37.88	$37.88	$37.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $47.70 / $92.13	Professional		$27.01	$47.70	$92.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $214.54 / $636.63	Facility		$76.59	$214.54	$636.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $101.19 / $155.43	Professional		$51.40	$101.19	$155.43
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $47.54 / $129.07	Professional		$36.90	$47.54	$129.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $101.06 / $106.94	Facility		$78.80	$101.06	$106.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $53.78 / $105.62	Professional		$26.22	$53.78	$105.62