Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $134.90	Professional		$53.70	$85.11	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $251.19	Professional		$109.65	$109.65	$251.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $97.72 / $131.83	Facility		$13.18	$97.72	$131.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $97.72 / $131.83	Professional		$13.18	$97.72	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $117.49	Professional		$77.62	$91.20	$117.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $138.04	Professional		$85.11	$91.20	$138.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $128.82	Professional		$112.20	$125.89	$128.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $63.10 / $100.00	Facility		$6.76	$63.10	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $125.89	Professional		$46.77	$81.28	$125.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $128.82 / $131.83	Facility		$112.20	$128.82	$131.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $131.83	Professional		$112.20	$125.89	$131.83