Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $44.62 / $60.27	Professional		$26.54	$44.62	$60.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.35 / $126.41 / $140.46	Facility		$105.35	$126.41	$140.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $29.98 / $112.11	Professional		$23.74	$29.98	$112.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $58.51 / $58.51	Facility		$54.41	$58.51	$58.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $58.51 / $58.51	Professional		$58.51	$58.51	$58.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $30.85	Professional		$30.85	$30.85	$30.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $94.81 / $152.40	Professional		$73.73	$94.81	$152.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $40.21 / $40.21	Facility		$40.21	$40.21	$40.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $40.21 / $40.21	Professional		$40.21	$40.21	$40.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $555.00 / $597.00	Facility		$84.79	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $121.50	Professional		$30.85	$30.85	$121.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $35.03 / $56.18	Professional		$23.36	$35.03	$56.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $40.21 / $70.23	Professional		$40.21	$40.21	$70.23