Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.65 / $211.74 / $391.94	Facility		$165.65	$211.74	$391.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $260.20 / $308.67	Professional		$165.65	$260.20	$308.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.55 / $496.28 / $973.10	Facility		$486.55	$496.28	$973.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $289.64 / $771.91	Professional		$289.64	$289.64	$771.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $376.99 / $405.37 / $405.37	Facility		$376.99	$405.37	$405.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $405.37 / $405.37 / $405.37	Professional		$405.37	$405.37	$405.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $297.62	Professional		$217.26	$217.26	$297.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $486.55 / $1,094.74	Facility		$319.00	$486.55	$1,094.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $364.91 / $875.79	Professional		$251.25	$364.91	$875.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.64 / $266.64 / $266.64	Facility		$266.64	$266.64	$266.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $292.54 / $348.91	Professional		$266.64	$292.54	$348.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $597.00	Facility		$297.62	$297.62	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $289.88 / $724.96	Professional		$217.26	$289.88	$724.96
United Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $261.45 / $476.30	Professional		$161.82	$261.45	$476.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $292.54 / $292.54 / $304.00	Facility		$292.54	$292.54	$304.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $292.54 / $310.82	Professional		$266.64	$292.54	$310.82