Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $64.20 / $86.64	Professional		$37.52	$64.20	$86.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.77 / $182.12 / $202.36	Facility		$151.77	$182.12	$202.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $43.20 / $161.53	Professional		$34.21	$43.20	$161.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $84.30 / $84.30	Facility		$78.40	$84.30	$84.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $84.30 / $84.30	Professional		$84.30	$84.30	$84.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.50 / $119.50 / $119.50	Facility		$119.50	$119.50	$119.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Professional		$43.62	$43.62	$43.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $122.99 / $219.56	Professional		$90.00	$122.99	$219.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.94 / $57.94 / $57.94	Facility		$57.94	$57.94	$57.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $57.94 / $57.94	Professional		$15.15	$57.94	$57.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.50 / $555.00 / $597.00	Facility		$119.50	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $43.62 / $175.05	Professional		$43.62	$43.62	$175.05
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $50.48 / $87.22	Professional		$33.65	$50.48	$87.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $57.94 / $101.18	Professional		$57.94	$57.94	$101.18