Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $289.89 / $474.65	Professional		$208.71	$289.89	$474.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.76 / $359.76 / $693.97	Professional		$359.76	$359.76	$693.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $390.67 / $520.92	Facility		$53.02	$390.67	$520.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $390.67 / $520.92	Professional		$53.02	$390.67	$520.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $416.18	Facility		$310.87	$310.87	$416.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $416.18	Professional		$264.24	$310.87	$416.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $343.01 / $408.35	Professional		$253.18	$343.01	$408.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $473.08 / $496.00	Professional		$436.52	$473.08	$496.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $416.18	Facility		$310.87	$310.87	$416.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $310.87 / $416.18	Professional		$52.11	$310.87	$416.18
United Facility/Professional Professional Modifier Low / Median / High Price $219.15 / $316.54 / $498.19	Professional		$219.15	$316.54	$498.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $445.25 / $445.25 / $445.25	Facility		$445.25	$445.25	$445.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $445.25 / $445.25 / $496.00	Professional		$445.25	$445.25	$496.00