Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $153.04 / $180.28	Professional		$79.01	$153.04	$180.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.70 / $459.23 / $510.26	Facility		$382.70	$459.23	$510.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $108.93 / $407.31	Professional		$86.27	$108.93	$407.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $212.56 / $212.56	Facility		$197.68	$212.56	$212.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $212.56 / $212.56 / $212.56	Professional		$212.56	$212.56	$212.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Facility		$258.47	$258.47	$258.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $344.43 / $553.63	Professional		$267.89	$344.43	$553.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.08 / $146.08 / $146.08	Facility		$146.08	$146.08	$146.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $146.08 / $146.08	Professional		$146.08	$146.08	$146.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $258.47 / $555.00 / $597.00	Facility		$258.47	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $441.39	Professional		$91.84	$91.84	$441.39
United Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $127.28 / $229.71	Professional		$84.86	$127.28	$229.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $159.40 / $255.13	Professional		$146.08	$159.40	$255.13