Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.53 / $258.79 / $479.02	Facility		$218.53	$258.79	$479.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $262.33 / $374.91	Professional		$218.53	$262.33	$374.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.66 / $606.55 / $1,189.33	Facility		$594.66	$606.55	$1,189.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $942.96	Professional		$350.00	$350.00	$942.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $460.76 / $495.44 / $495.44	Facility		$460.76	$495.44	$495.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $495.44 / $495.44 / $495.44	Professional		$495.44	$495.44	$495.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $401.27	Professional		$292.93	$292.93	$401.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $594.66 / $1,338.01	Facility		$319.00	$594.66	$1,338.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $307.07 / $440.06 / $1,070.41	Professional		$307.07	$440.06	$1,070.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.19 / $361.19 / $361.19	Facility		$361.19	$361.19	$361.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.91 / $361.19 / $433.43	Professional		$343.91	$361.19	$433.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $597.00	Facility		$401.27	$401.27	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $367.53 / $883.13	Professional		$292.93	$367.53	$883.13
United Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $362.05 / $543.90	Professional		$197.78	$362.05	$543.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $343.91 / $343.91 / $397.34	Facility		$343.91	$343.91	$397.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $343.91 / $343.91 / $365.40	Professional		$343.91	$343.91	$365.40