Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $259.08 / $424.72	Facility		$212.36	$259.08	$424.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.97 / $269.43	Professional		$213.84	$215.97	$269.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.07 / $171.07 / $213.84	Facility		$171.07	$171.07	$213.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.41 / $213.84 / $213.84	Professional		$206.41	$213.84	$213.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $205.72 / $205.72 / $216.01	Facility		$205.72	$205.72	$216.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $205.72 / $205.72	Professional		$205.72	$205.72	$205.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $201.74 / $219.13	Facility		$201.74	$201.74	$219.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $262.26 / $453.92	Facility		$201.74	$262.26	$453.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $201.74 / $276.38	Professional		$201.74	$201.74	$276.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $213.84 / $221.91	Facility		$213.84	$213.84	$221.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $221.91	Professional		$213.84	$213.84	$221.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $201.74 / $555.00	Facility		$201.74	$201.74	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $299.00	Professional		$213.84	$213.84	$299.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $288.64	Professional		$213.84	$213.84	$288.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.91 / $221.91 / $221.91	Facility		$221.91	$221.91	$221.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $221.91	Professional		$213.84	$213.84	$221.91