Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $70.79	Professional		$33.88	$60.26	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $181.97 / $181.97	Facility		$134.90	$181.97	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $158.49	Professional		$30.20	$38.02	$158.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Facility		$69.18	$74.13	$74.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $89.13	Professional		$34.67	$34.67	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $165.96	Professional		$89.13	$104.71	$165.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $75.86	Professional		$51.29	$53.70	$75.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $95.50	Professional		$75.86	$87.10	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $66.07	Professional		$29.51	$44.67	$66.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $89.13	Professional		$51.29	$53.70	$89.13