Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $125.21 / $231.78	Facility		$97.95	$125.21	$231.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $148.36 / $181.40	Professional		$97.95	$148.36	$181.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.73 / $293.48 / $575.46	Facility		$287.73	$293.48	$575.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $175.24 / $467.01	Professional		$175.24	$175.24	$467.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $222.94 / $239.72 / $239.72	Facility		$222.94	$239.72	$239.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $239.72 / $239.72	Professional		$239.72	$239.72	$239.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $225.30	Professional		$164.47	$164.47	$225.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $287.73 / $345.28 / $647.39	Facility		$287.73	$345.28	$647.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $215.80 / $517.91	Professional		$148.57	$215.80	$517.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.38 / $183.38 / $183.38	Facility		$183.38	$183.38	$183.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $183.38 / $220.06	Professional		$172.98	$183.38	$220.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $555.00	Facility		$225.30	$225.30	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $171.42 / $444.75	Professional		$164.47	$171.42	$444.75
United Facility/Professional Facility Modifier Low / Median / High Price $383.64 / $383.64 / $383.64	Facility		$383.64	$383.64	$383.64
United Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $151.94 / $263.16	Professional		$95.70	$151.94	$263.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $172.98 / $172.98 / $179.76	Facility		$172.98	$172.98	$179.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $172.98 / $183.79	Professional		$172.98	$172.98	$183.79