Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $282.33 / $468.17	Professional		$183.43	$282.33	$468.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.35 / $799.61 / $888.46	Facility		$666.35	$799.61	$888.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.85 / $366.87 / $865.37	Professional		$357.85	$366.87	$865.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $344.20 / $370.11 / $370.11	Facility		$344.20	$370.11	$370.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $370.11 / $370.11 / $370.11	Professional		$370.11	$370.11	$370.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.00 / $583.00 / $583.00	Facility		$583.00	$583.00	$583.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $466.44 / $581.94 / $963.98	Professional		$466.44	$581.94	$963.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.36 / $254.36 / $254.36	Facility		$254.36	$254.36	$254.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $267.08 / $444.23	Professional		$254.36	$267.08	$444.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $583.00 / $597.00	Facility		$555.00	$583.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $805.53	Professional		$213.23	$213.23	$805.53
United Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $229.70 / $381.02	Professional		$147.75	$229.70	$381.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $254.36 / $283.77 / $455.51	Professional		$254.36	$283.77	$455.51