Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $81.59 / $114.97	Professional		$52.83	$81.59	$114.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $95.43 / $139.62	Professional		$93.15	$95.43	$139.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $83.38 / $111.18	Facility		$11.11	$83.38	$111.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $83.38 / $111.18	Professional		$11.11	$83.38	$111.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $105.84	Professional		$66.43	$78.15	$105.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $74.34 / $105.23	Professional		$70.63	$74.34	$105.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $86.21 / $105.34	Professional		$81.13	$86.21	$105.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $78.15 / $105.84	Professional		$9.21	$78.15	$105.84
United Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $71.98 / $98.77	Professional		$44.33	$71.98	$98.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $81.13 / $81.13	Facility		$81.13	$81.13	$81.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $81.13 / $105.34	Professional		$81.13	$81.13	$105.34