Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $199.53	Professional		$85.11	$162.18	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $524.81	Facility		$389.05	$524.81	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $457.09	Professional		$87.10	$109.65	$457.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $213.80	Facility		$199.53	$213.80	$213.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $269.15	Professional		$91.20	$91.20	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $562.34	Professional		$263.03	$338.84	$562.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $269.15	Professional		$251.19	$251.19	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $208.93	Professional		$85.11	$125.89	$208.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $257.04	Professional		$144.54	$144.54	$257.04