Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.88 / $151.44 / $280.31	Facility		$127.88	$151.44	$280.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $151.44 / $219.38	Professional		$127.88	$151.44	$219.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.98 / $354.94 / $695.96	Facility		$347.98	$354.94	$695.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $159.44 / $508.32	Professional		$159.44	$159.44	$508.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.63 / $289.92 / $289.92	Facility		$269.63	$289.92	$289.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $289.92 / $289.92	Professional		$289.92	$289.92	$289.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $347.98 / $782.96	Facility		$319.00	$347.98	$782.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $260.99 / $626.36	Professional		$191.53	$260.99	$626.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.86 / $263.86 / $263.86	Facility		$263.86	$263.86	$263.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.21 / $222.29 / $289.92	Professional		$209.21	$222.29	$289.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $555.00	Facility		$225.10	$225.10	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $207.31 / $504.38	Professional		$164.32	$207.31	$504.38
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $172.06 / $172.06	Facility		$0.21	$172.06	$172.06
United Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $188.07 / $313.18	Professional		$115.74	$188.07	$313.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $209.21 / $209.21 / $217.41	Facility		$209.21	$209.21	$217.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $209.21 / $209.21 / $263.86	Professional		$209.21	$209.21	$263.86