Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $211.26 / $344.05	Facility		$114.68	$211.26	$344.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $102.61 / $120.72	Professional		$61.08	$102.61	$120.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $313.87	Facility		$120.72	$120.72	$313.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $71.84 / $248.90	Professional		$59.61	$71.84	$248.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $120.72	Facility		$120.72	$120.72	$120.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $120.72 / $120.72	Professional		$88.13	$120.72	$120.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $244.48 / $313.27	Facility		$84.35	$244.48	$313.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $581.87	Professional		$63.47	$63.47	$581.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $250.00 / $346.00	Facility		$120.72	$250.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $71.22 / $225.75	Professional		$48.29	$71.22	$225.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $114.68 / $135.58	Professional		$102.61	$114.68	$135.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.64 / $255.03 / $313.27	Facility		$110.64	$255.03	$313.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $100.60 / $262.08	Professional		$63.47	$100.60	$262.08
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $72.43 / $181.08	Professional		$50.70	$72.43	$181.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $135.44 / $135.44 / $135.44	Facility		$135.44	$135.44	$135.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $115.91 / $135.58	Professional		$102.61	$115.91	$135.58