Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.20 / $135.53 / $188.83	Facility		$96.20	$135.53	$188.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $109.01 / $164.43	Professional		$95.08	$109.01	$164.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $109.08 / $204.09	Professional		$85.02	$109.08	$204.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $148.97 / $148.97	Facility		$148.97	$148.97	$148.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $148.97 / $148.97	Professional		$148.97	$148.97	$148.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $116.06 / $350.00	Facility		$60.00	$116.06	$350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $129.41 / $331.21	Professional		$88.07	$129.41	$331.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $127.36 / $332.00	Facility		$38.00	$127.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $126.84 / $212.59	Professional		$45.00	$126.84	$212.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $121.25 / $122.46	Facility		$97.97	$121.25	$122.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $92.28 / $146.08	Professional		$80.26	$92.28	$146.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $555.00 / $597.00	Facility		$80.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $138.31 / $300.80	Professional		$81.83	$138.31	$300.80
United Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $118.59 / $275.79	Professional		$82.60	$118.59	$275.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.97 / $111.73 / $219.50	Facility		$97.97	$111.73	$219.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $106.03 / $220.91	Professional		$80.26	$106.03	$220.91