Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $41.58 / $51.33	Professional		$22.07	$41.58	$51.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $120.71 / $134.12	Facility		$100.59	$120.71	$134.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $28.63 / $107.05	Professional		$22.67	$28.63	$107.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $55.87 / $55.87	Facility		$51.96	$55.87	$55.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $55.87 / $55.87	Professional		$55.87	$55.87	$55.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $67.33 / $67.33	Facility		$67.33	$67.33	$67.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $90.00 / $145.52	Professional		$70.41	$90.00	$145.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $38.39 / $38.39	Facility		$38.39	$38.39	$38.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $38.39 / $44.44	Professional		$38.39	$38.39	$44.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $555.00 / $597.00	Facility		$67.33	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $116.02	Professional		$25.65	$25.65	$116.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $33.46 / $57.52	Professional		$22.30	$33.46	$57.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $41.88 / $67.06	Professional		$38.39	$41.88	$67.06