Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $81.52 / $150.88	Facility		$63.77	$81.52	$150.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $81.52 / $118.09	Professional		$63.77	$81.52	$118.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.31 / $191.06 / $374.62	Facility		$187.31	$191.06	$374.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $83.85 / $273.62	Professional		$83.85	$83.85	$273.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $145.13 / $156.06 / $156.06	Facility		$145.13	$156.06	$156.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $156.06 / $156.06	Professional		$156.06	$156.06	$156.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $89.11	Professional		$65.05	$65.05	$89.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $187.31 / $319.00 / $421.45	Facility		$187.31	$319.00	$421.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $140.47 / $337.16	Professional		$110.51	$140.47	$337.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.18 / $142.18 / $142.18	Facility		$142.18	$142.18	$142.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $119.65 / $156.06	Professional		$112.61	$119.65	$156.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $555.00	Facility		$89.11	$89.11	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $271.41	Professional		$65.05	$89.11	$271.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $93.61 / $161.44	Professional		$62.30	$93.61	$161.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.61 / $112.61 / $117.02	Facility		$112.61	$112.61	$117.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $112.61 / $142.18	Professional		$112.61	$112.61	$142.18