Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.65 / $296.82 / $549.44	Facility		$250.65	$296.82	$549.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.65 / $351.68 / $430.02	Professional		$250.65	$351.68	$430.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $682.08 / $695.72 / $1,364.16	Facility		$682.08	$695.72	$1,364.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.88 / $382.88 / $1,060.57	Professional		$382.88	$382.88	$1,060.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $528.49 / $568.27 / $568.27	Facility		$528.49	$568.27	$568.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $568.27 / $568.27 / $568.27	Professional		$568.27	$568.27	$568.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $468.67	Professional		$342.13	$342.13	$468.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $682.08 / $1,534.68	Facility		$319.00	$682.08	$1,534.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $511.56 / $1,227.74	Professional		$352.20	$511.56	$1,227.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.30 / $333.30 / $333.30	Facility		$333.30	$333.30	$333.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $410.07 / $489.11	Professional		$333.30	$410.07	$489.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $682.08	Facility		$468.67	$468.67	$682.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $406.36 / $1,032.44	Professional		$342.13	$406.36	$1,032.44
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $226.86 / $413.17 / $614.12	Professional		$226.86	$413.17	$614.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $410.07 / $410.07 / $426.14	Facility		$410.07	$410.07	$426.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $410.07 / $435.69	Professional		$333.30	$410.07	$435.69