Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $94.13 / $108.66	Professional		$50.13	$94.13	$108.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.70 / $280.44 / $311.60	Facility		$233.70	$280.44	$311.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $66.51 / $248.69	Professional		$52.67	$66.51	$248.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.71 / $129.80 / $129.80	Facility		$120.71	$129.80	$129.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $129.80 / $129.80	Professional		$129.80	$129.80	$129.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $156.16 / $156.16	Facility		$156.16	$156.16	$156.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Professional		$58.28	$58.28	$58.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $189.37 / $338.09	Professional		$90.00	$189.37	$338.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Professional		$89.19	$89.19	$89.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $555.00 / $597.00	Facility		$156.16	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $269.55	Professional		$58.28	$58.28	$269.55
United Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $77.72 / $134.27	Professional		$51.82	$77.72	$134.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $97.32 / $155.80	Professional		$89.19	$97.32	$155.80