Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $201.88 / $330.08	Facility		$109.59	$201.88	$330.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $102.79 / $165.22	Professional		$87.57	$102.79	$165.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $115.36 / $299.94	Facility		$115.36	$115.36	$299.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $56.97 / $283.14	Professional		$12.34	$56.97	$283.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $115.36 / $115.36	Facility		$69.22	$115.36	$115.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.21 / $115.36 / $115.36	Professional		$84.21	$115.36	$115.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $233.89 / $299.70	Facility		$80.61	$233.89	$299.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $129.66 / $351.51	Professional		$39.63	$129.66	$351.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $160.03 / $346.00	Facility		$92.50	$160.03	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $92.29 / $211.11	Professional		$53.07	$92.29	$211.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $115.36 / $165.67	Professional		$98.06	$115.36	$165.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.72 / $252.33 / $402.43	Facility		$105.72	$252.33	$402.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $125.74 / $346.08	Professional		$52.09	$125.74	$346.08
United Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $79.16 / $87.40	Facility		$74.98	$79.16	$87.40
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $69.22 / $181.81	Professional		$48.45	$69.22	$181.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $132.66 / $388.00	Facility		$132.66	$132.66	$388.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $120.94 / $189.53	Professional		$98.06	$120.94	$189.53