Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $211.34 / $211.34	Facility		$211.34	$211.34	$211.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.39 / $211.34 / $270.52	Professional		$171.39	$211.34	$270.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $211.47 / $211.47	Professional		$183.29	$211.47	$211.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $157.35 / $157.35 / $157.35	Facility		$157.35	$157.35	$157.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $157.35 / $157.35	Professional		$157.35	$157.35	$157.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.65 / $186.07 / $673.43	Facility		$180.65	$186.07	$673.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.77 / $223.77 / $387.12	Facility		$223.77	$223.77	$387.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.77 / $223.77 / $223.77	Professional		$223.77	$223.77	$223.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $217.68 / $217.68	Facility		$217.68	$217.68	$217.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $217.68 / $236.20	Professional		$217.68	$217.68	$236.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $186.07 / $673.43	Facility		$186.07	$186.07	$673.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $136.68 / $232.20	Professional		$136.68	$136.68	$232.20
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $248.63 / $317.20	Professional		$207.32	$248.63	$317.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $217.68 / $217.68	Facility		$217.68	$217.68	$217.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $217.68 / $236.20	Professional		$217.68	$217.68	$236.20