Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $118.40 / $137.80	Professional		$61.36	$118.40	$137.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.20 / $356.63 / $396.26	Facility		$297.20	$356.63	$396.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $84.59 / $316.31	Professional		$66.98	$84.59	$316.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.52 / $165.07 / $165.07	Facility		$153.52	$165.07	$165.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.07 / $165.07 / $165.07	Professional		$165.07	$165.07	$165.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.29 / $203.29 / $203.29	Facility		$203.29	$203.29	$203.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $71.33	Professional		$71.33	$71.33	$71.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.04 / $267.48 / $429.94	Professional		$208.04	$267.48	$429.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $113.45 / $113.45	Facility		$113.45	$113.45	$113.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $113.45 / $198.13	Professional		$113.45	$113.45	$198.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $203.29 / $555.00 / $597.00	Facility		$203.29	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $71.33 / $342.79	Professional		$71.33	$71.33	$342.79
United Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $98.84 / $166.56	Professional		$65.90	$98.84	$166.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $120.54 / $198.13	Professional		$113.45	$120.54	$198.13