Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.46 / $159.46 / $159.46	Facility		$159.46	$159.46	$159.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $205.81 / $273.10	Professional		$156.02	$205.81	$273.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $179.62 / $285.44	Professional		$0.80	$179.62	$285.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $307.80 / $307.80	Facility		$307.80	$307.80	$307.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $307.80 / $307.80 / $307.80	Professional		$307.80	$307.80	$307.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $166.35 / $415.60	Professional		$141.52	$166.35	$415.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $162.91 / $199.83	Professional		$134.66	$162.91	$199.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $165.44 / $198.53	Professional		$139.88	$165.44	$198.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $196.40 / $350.96	Professional		$141.52	$196.40	$350.96
United Facility/Professional Professional Modifier Low / Median / High Price $169.45 / $241.66 / $465.74	Professional		$169.45	$241.66	$465.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $194.64 / $550.91	Facility		$194.64	$194.64	$550.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $184.90 / $198.53	Professional		$139.88	$184.90	$198.53