Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $428.10 / $679.52	Facility		$339.76	$428.10	$679.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $411.11	Professional		$340.31	$340.31	$411.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.25 / $272.25 / $340.31	Facility		$272.25	$272.25	$340.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $26,551.27	Professional		$340.31	$340.31	$26,551.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $324.08 / $324.08 / $340.29	Facility		$324.08	$324.08	$340.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $324.08 / $324.08 / $324.08	Professional		$324.08	$324.08	$324.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $328.91 / $361.97	Facility		$321.05	$328.91	$361.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $346.46	Professional		$340.31	$340.31	$346.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $386.95 / $722.36	Facility		$319.00	$386.95	$722.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.20 / $386.95 / $410.17	Professional		$290.20	$386.95	$410.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $340.31 / $353.16	Facility		$340.31	$340.31	$353.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $353.16	Professional		$340.31	$340.31	$353.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $340.31 / $555.00	Facility		$321.05	$340.31	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.23 / $340.31 / $433.62	Professional		$333.23	$340.31	$433.62
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $401.90	Professional		$136.12	$340.31	$401.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $353.16 / $353.16 / $353.16	Facility		$353.16	$353.16	$353.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $353.16 / $20,440.00	Professional		$340.31	$353.16	$20,440.00