Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.54 / $90.17 / $166.91	Facility		$70.54	$90.17	$166.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $90.53 / $130.63	Professional		$70.54	$90.53	$130.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.20 / $211.34 / $414.40	Facility		$207.20	$211.34	$414.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $114.28 / $319.98	Professional		$114.28	$114.28	$319.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $160.55 / $172.63 / $172.63	Facility		$160.55	$172.63	$172.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $172.63 / $172.63	Professional		$172.63	$172.63	$172.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $147.05	Professional		$107.35	$107.35	$147.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $207.20 / $332.00 / $466.20	Facility		$207.20	$332.00	$466.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $153.33 / $372.96	Professional		$106.99	$153.33	$372.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.05 / $132.05 / $132.05	Facility		$132.05	$132.05	$132.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $132.05 / $158.46	Professional		$124.57	$132.05	$158.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $555.00	Facility		$147.05	$147.05	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $127.00 / $321.16	Professional		$107.35	$127.00	$321.16
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $107.44 / $189.52	Professional		$68.92	$107.44	$189.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $124.57 / $129.44	Facility		$124.57	$124.57	$129.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $132.36	Professional		$124.57	$124.57	$132.36