Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $210.58 / $378.86	Facility		$100.00	$210.58	$378.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $200.75 / $342.04	Professional		$142.13	$200.75	$342.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $230.20 / $302.27	Professional		$170.31	$230.20	$302.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $198.00 / $264.00	Facility		$115.00	$198.00	$264.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $162.37 / $410.90	Professional		$132.46	$162.37	$410.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $265.64 / $309.57	Professional		$265.64	$265.64	$309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $291.35 / $550.73	Professional		$178.90	$291.35	$550.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $278.64 / $406.00	Facility		$100.00	$278.64	$406.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $266.10 / $427.73	Professional		$148.75	$266.10	$427.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $137.52 / $225.13	Facility		$112.56	$137.52	$225.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $196.93 / $433.07	Professional		$95.03	$196.93	$433.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $272.70 / $550.73	Professional		$0.03	$272.70	$550.73
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $233.72 / $283.48	Professional		$70.75	$233.72	$283.48
United Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $244.61 / $510.81	Professional		$162.19	$244.61	$510.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $112.56 / $602.04	Facility		$93.83	$112.56	$602.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $273.66 / $433.07	Professional		$136.83	$273.66	$433.07