Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $102.89 / $190.45	Facility		$80.48	$102.89	$190.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $112.70 / $175.00	Professional		$80.48	$112.70	$175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.42 / $241.15 / $472.84	Facility		$236.42	$241.15	$472.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $131.80 / $366.42	Professional		$131.80	$131.80	$366.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $196.97 / $196.97	Facility		$183.18	$196.97	$196.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $196.97 / $196.97	Professional		$196.97	$196.97	$196.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $135.22 / $193.57	Professional		$98.72	$135.22	$193.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $236.42 / $332.00 / $531.95	Facility		$236.42	$332.00	$531.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $174.95 / $425.56	Professional		$136.72	$174.95	$425.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.91 / $170.91 / $170.91	Facility		$170.91	$170.91	$170.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.15 / $151.03 / $196.97	Professional		$142.15	$151.03	$196.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $555.00	Facility		$135.22	$135.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $146.12 / $280.88	Professional		$98.72	$146.12	$280.88
United Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $124.61 / $216.24	Professional		$78.63	$124.61	$216.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.38 / $142.15 / $142.15	Facility		$126.38	$142.15	$142.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $142.15 / $142.15 / $170.91	Professional		$142.15	$142.15	$170.91