Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $112.20	Professional		$47.86	$89.13	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $269.15	Facility		$204.17	$269.15	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $234.42	Professional		$45.71	$56.23	$234.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $109.65	Facility		$102.33	$109.65	$109.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $151.36	Professional		$51.29	$51.29	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $295.12	Professional		$89.13	$177.83	$295.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $112.20	Professional		$75.86	$81.28	$112.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $144.54	Professional		$128.82	$128.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $104.71	Professional		$43.65	$66.07	$104.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $131.83	Professional		$75.86	$81.28	$131.83