Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $91.38 / $169.14	Facility		$71.48	$91.38	$169.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $110.96 / $135.90	Professional		$71.48	$110.96	$135.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.97 / $214.17 / $419.94	Facility		$209.97	$214.17	$419.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.11 / $126.11 / $336.08	Professional		$126.11	$126.11	$336.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $174.94 / $174.94	Facility		$162.69	$174.94	$174.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $174.94 / $174.94 / $174.94	Professional		$174.94	$174.94	$174.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $139.66	Professional		$101.95	$101.95	$139.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $209.97 / $332.00 / $472.43	Facility		$209.97	$332.00	$472.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $157.47 / $377.95	Professional		$108.43	$157.47	$377.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.18 / $119.18 / $119.18	Facility		$119.18	$119.18	$119.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $126.23 / $150.57	Professional		$119.18	$126.23	$150.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $555.00	Facility		$139.66	$139.66	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $125.10 / $312.66	Professional		$101.95	$125.10	$312.66
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $113.48 / $192.05	Professional		$69.84	$113.48	$192.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $131.18	Facility		$126.23	$126.23	$131.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $126.23 / $134.13	Professional		$119.18	$126.23	$134.13