Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.58 / $106.08 / $196.36	Facility		$89.58	$106.08	$196.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $129.16 / $157.97	Professional		$89.58	$129.16	$157.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.76 / $248.64 / $487.52	Facility		$243.76	$248.64	$487.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $148.22 / $395.03	Professional		$148.22	$148.22	$395.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $188.87 / $203.09 / $203.09	Facility		$188.87	$203.09	$203.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $203.09 / $203.09 / $203.09	Professional		$203.09	$203.09	$203.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $184.91	Facility		$184.91	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $184.91	Professional		$134.97	$134.97	$184.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $243.76 / $332.00 / $548.46	Facility		$243.76	$332.00	$548.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $182.82 / $438.77	Professional		$125.87	$182.82	$438.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.44 / $146.44 / $146.44	Facility		$146.44	$146.44	$146.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $146.55 / $175.74	Professional		$146.44	$146.55	$175.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $555.00	Facility		$184.91	$184.91	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $145.22 / $363.20	Professional		$134.97	$145.22	$363.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $156.25 / $219.38	Professional		$81.06	$156.25	$219.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $146.55 / $152.29	Facility		$146.55	$146.55	$152.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $146.55 / $155.69	Professional		$146.44	$146.55	$155.69