Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $46.77	Professional		$26.92	$39.81	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $91.20	Professional		$36.31	$45.71	$91.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Facility		$74.13	$74.13	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $208.93	Professional		$50.12	$60.26	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $104.71	Facility		$26.92	$26.92	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $85.11	Professional		$30.90	$52.48	$85.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $74.13	Professional		$38.02	$45.71	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $91.20	Professional		$33.88	$47.86	$91.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $69.18	Professional		$38.02	$38.02	$69.18