Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $186.10 / $241.88	Facility		$141.60	$186.10	$241.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $183.16 / $218.47	Professional		$123.33	$183.16	$218.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $95.67 / $358.57	Professional		$75.45	$95.67	$358.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.25 / $193.82 / $193.82	Facility		$180.25	$193.82	$193.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $193.82 / $193.82 / $193.82	Professional		$193.82	$193.82	$193.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $231.02 / $332.00 / $519.79	Facility		$231.02	$332.00	$519.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.57 / $312.80 / $501.31	Professional		$242.57	$312.80	$501.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.05 / $149.05 / $149.05	Facility		$149.05	$149.05	$149.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $158.36 / $193.82	Professional		$149.05	$158.36	$193.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $597.00	Facility		$270.73	$270.73	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $94.26 / $395.71	Professional		$25.00	$94.26	$395.71
United Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $138.61 / $291.13	Professional		$76.84	$138.61	$291.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $149.05 / $149.05 / $149.05	Facility		$149.05	$149.05	$149.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $149.05 / $158.36	Professional		$149.05	$149.05	$158.36