Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $422.35 / $692.38	Facility		$346.11	$422.35	$692.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $419.59	Professional		$346.11	$346.11	$419.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.89 / $276.89 / $346.11	Facility		$276.89	$276.89	$346.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $346.11 / $543.14	Professional		$319.95	$346.11	$543.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $311.93 / $311.93 / $327.52	Facility		$311.93	$311.93	$327.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $311.93 / $311.93 / $311.93	Professional		$311.93	$311.93	$311.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $326.52 / $346.11	Facility		$326.52	$326.52	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.11 / $734.67	Facility		$319.00	$346.11	$734.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $447.33	Professional		$346.11	$346.11	$447.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $352.64	Facility		$346.11	$346.11	$352.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $352.64	Professional		$346.11	$346.11	$352.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $326.52 / $555.00	Facility		$326.52	$326.52	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $471.60	Professional		$346.11	$346.11	$471.60
United Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Facility		$346.11	$346.11	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $500.35	Professional		$346.11	$346.11	$500.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $352.64 / $352.64 / $352.64	Facility		$352.64	$352.64	$352.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $352.64	Professional		$346.11	$346.11	$352.64