Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.98 / $210.00 / $366.00	Facility		$99.98	$210.00	$366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $99.98 / $140.41	Professional		$77.69	$99.98	$140.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $100.52 / $168.15	Professional		$83.54	$100.52	$168.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $186.03 / $226.00	Facility		$80.00	$186.03	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $166.22 / $448.65	Professional		$90.23	$166.22	$448.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $154.79 / $332.00	Facility		$27.00	$154.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $130.97	Professional		$45.00	$45.00	$130.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.54 / $154.54 / $216.35	Facility		$154.54	$154.54	$216.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $153.97 / $245.01	Professional		$106.61	$153.97	$245.01
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 $96.66 / $150.91 / $293.73	Professional		$96.66	$150.91	$293.73
United Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $159.00 / $351.65	Professional		$116.02	$159.00	$351.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.54 / $181.14 / $216.35	Facility		$154.54	$181.14	$216.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $160.19 / $350.52	Professional		$135.12	$160.19	$350.52