Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $95.99 / $177.68	Facility		$81.06	$95.99	$177.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $98.51 / $139.07	Professional		$81.06	$98.51	$139.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.58 / $224.99 / $441.16	Facility		$220.58	$224.99	$441.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $137.44 / $366.30	Professional		$137.44	$137.44	$366.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $170.92 / $183.78 / $183.78	Facility		$170.92	$183.78	$183.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $183.78 / $183.78	Professional		$183.78	$183.78	$183.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $175.58	Professional		$128.16	$128.16	$175.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $220.58 / $332.00 / $496.31	Facility		$220.58	$332.00	$496.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $158.82 / $397.04	Professional		$113.90	$158.82	$397.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $106.56 / $106.56	Facility		$106.56	$106.56	$106.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $132.62 / $158.18	Professional		$106.56	$132.62	$158.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $555.00	Facility		$175.58	$175.58	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $131.43 / $328.66	Professional		$128.16	$131.43	$328.66
United Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $137.75 / $190.12	Professional		$73.36	$137.75	$190.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.62 / $132.62 / $137.82	Facility		$132.62	$132.62	$137.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $132.62 / $140.91	Professional		$106.56	$132.62	$140.91