Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $199.53	Professional		$64.57	$120.23	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $331.13	Professional		$162.18	$162.18	$331.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $134.90 / $169.82	Facility		$18.20	$134.90	$169.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $134.90 / $169.82	Professional		$18.20	$134.90	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $162.18	Professional		$114.82	$134.90	$162.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $208.93	Professional		$107.15	$134.90	$208.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Professional		$120.23	$120.23	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $74.13 / $138.04	Facility		$8.51	$74.13	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $169.82	Professional		$69.18	$102.33	$169.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Facility		$117.49	$117.49	$120.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $169.82	Professional		$117.49	$120.23	$169.82