Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $252.47 / $467.34	Facility		$213.20	$252.47	$467.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $252.47 / $365.77	Professional		$213.20	$252.47	$365.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.16 / $591.76 / $1,160.32	Facility		$580.16	$591.76	$1,160.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.79 / $263.79 / $847.48	Professional		$263.79	$263.79	$847.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $449.52 / $483.36 / $483.36	Facility		$449.52	$483.36	$483.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $483.36 / $483.36 / $483.36	Professional		$483.36	$483.36	$483.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.54	Professional		$200.41	$200.41	$274.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $580.16 / $1,305.35	Facility		$319.00	$580.16	$1,305.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.58 / $417.72 / $1,044.29	Professional		$299.58	$417.72	$1,044.29
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 / $348.79 / $416.03	Professional		$266.64	$348.79	$416.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $580.16	Facility		$274.54	$274.54	$580.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $274.54 / $899.25	Professional		$200.41	$274.54	$899.25
United Facility/Professional Professional Modifier Low / Median / High Price $192.96 / $311.76 / $500.05	Professional		$192.96	$311.76	$500.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $348.79 / $348.79 / $362.46	Facility		$348.79	$348.79	$362.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $348.79 / $370.60	Professional		$266.64	$348.79	$370.60