Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $92.67 / $151.51	Facility		$73.55	$92.67	$151.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $86.05	Professional		$73.94	$73.94	$86.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.14 / $59.14 / $73.93	Facility		$59.14	$59.14	$73.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $73.94 / $96.19	Professional		$66.05	$73.94	$96.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $57.22 / $60.08	Facility		$57.22	$57.22	$60.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $57.22 / $57.22	Professional		$57.22	$57.22	$57.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $69.75 / $85.00	Facility		$57.38	$69.75	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $80.20	Professional		$73.94	$73.94	$80.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $115.09 / $332.00	Facility		$80.20	$115.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $80.20 / $90.21	Professional		$76.73	$80.20	$90.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $75.33	Facility		$73.94	$73.94	$75.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $75.33 / $75.33	Professional		$73.94	$75.33	$75.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $69.75 / $88.25	Facility		$57.38	$69.75	$88.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $86.20	Professional		$73.94	$73.94	$86.20
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $100.64	Professional		$73.94	$78.38	$100.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.33 / $75.33 / $75.33	Facility		$75.33	$75.33	$75.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $75.33 / $75.33	Professional		$73.94	$75.33	$75.33