Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $191.79 / $355.01	Facility		$161.96	$191.79	$355.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $236.91 / $285.60	Professional		$161.96	$236.91	$285.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.72 / $449.53 / $881.44	Facility		$440.72	$449.53	$881.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $269.24 / $717.52	Professional		$269.24	$269.24	$717.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $341.48 / $367.18 / $367.18	Facility		$341.48	$367.18	$367.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $367.18 / $367.18	Professional		$367.18	$367.18	$367.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $315.70	Facility		$315.70	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $315.70	Professional		$230.47	$230.47	$315.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $440.72 / $991.62	Facility		$319.00	$440.72	$991.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $227.57 / $330.54 / $793.30	Professional		$227.57	$330.54	$793.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $179.28 / $179.28	Facility		$179.28	$179.28	$179.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $264.95 / $316.04	Professional		$179.28	$264.95	$316.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $558.88	Facility		$315.70	$315.70	$558.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $262.57 / $656.67	Professional		$230.47	$262.57	$656.67
United Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $264.43 / $403.10	Professional		$146.58	$264.43	$403.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $264.95 / $264.95 / $275.33	Facility		$264.95	$264.95	$275.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $264.95 / $281.52	Professional		$179.28	$264.95	$281.52