Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $100.69 / $186.38	Facility		$78.77	$100.69	$186.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $101.10 / $145.87	Professional		$78.77	$101.10	$145.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.38 / $236.01 / $462.76	Facility		$231.38	$236.01	$462.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $137.22 / $366.89	Professional		$137.22	$137.22	$366.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $192.77 / $192.77	Facility		$179.28	$192.77	$192.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $192.77 / $192.77	Professional		$192.77	$192.77	$192.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $231.38 / $332.00 / $520.61	Facility		$231.38	$332.00	$520.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $171.22 / $416.48	Professional		$119.48	$171.22	$416.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $85.85 / $85.85	Facility		$85.85	$85.85	$85.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $139.10 / $165.92	Professional		$85.85	$139.10	$165.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $555.00	Facility		$166.23	$166.23	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $137.84 / $344.76	Professional		$121.35	$137.84	$344.76
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $125.05 / $212.13	Professional		$76.95	$125.05	$212.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $139.10 / $139.10 / $144.55	Facility		$139.10	$139.10	$144.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $139.10 / $147.80	Professional		$85.85	$139.10	$147.80