Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $36.15 / $42.98	Professional		$18.67	$36.15	$42.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $108.50 / $120.56	Facility		$90.42	$108.50	$120.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $25.74 / $96.24	Professional		$20.38	$25.74	$96.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $50.22 / $50.22	Facility		$46.70	$50.22	$50.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $50.22 / $50.22	Professional		$50.22	$50.22	$50.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $58.59 / $58.59	Facility		$58.59	$58.59	$58.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $81.38 / $130.81	Professional		$60.28	$81.38	$130.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $34.51 / $34.51	Facility		$34.51	$34.51	$34.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $34.51 / $60.28	Professional		$34.51	$34.51	$60.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $555.00 / $597.00	Facility		$58.59	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $104.29	Professional		$21.70	$21.70	$104.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $30.07 / $48.22	Professional		$20.05	$30.07	$48.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $36.67 / $60.28	Professional		$34.51	$36.67	$60.28