Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $64.31 / $119.06	Facility		$54.31	$64.31	$119.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $65.20 / $93.19	Professional		$54.31	$65.20	$93.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $150.77 / $295.62	Facility		$147.81	$150.77	$295.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $101.55 / $248.51	Professional		$101.55	$101.55	$248.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.53 / $123.15 / $123.15	Facility		$114.53	$123.15	$123.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $123.15 / $123.15	Professional		$123.15	$123.15	$123.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $98.15	Professional		$71.65	$71.65	$98.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $310.39 / $332.57	Facility		$147.81	$310.39	$332.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $109.38 / $266.06	Professional		$76.31	$109.38	$266.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $94.68 / $94.68	Facility		$94.68	$94.68	$94.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $113.61 / $113.62	Professional		$94.68	$113.61	$113.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $555.00	Facility		$98.15	$98.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $91.35 / $219.38	Professional		$71.65	$91.35	$219.38
United Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $88.69 / $133.03	Professional		$49.16	$88.69	$133.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.74 / $113.61 / $113.61	Facility		$98.74	$113.61	$113.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $113.61 / $113.61	Professional		$94.68	$113.61	$113.61