Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $48.21 / $65.09	Professional		$28.66	$48.21	$65.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $136.55 / $151.72	Facility		$113.79	$136.55	$151.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $32.38 / $121.10	Professional		$25.64	$32.38	$121.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $63.20 / $63.20	Facility		$58.78	$63.20	$63.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $63.20 / $63.20	Professional		$63.20	$63.20	$63.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $91.55 / $91.55	Facility		$91.55	$91.55	$91.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $33.32	Professional		$33.32	$33.32	$33.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $102.41 / $164.62	Professional		$79.65	$102.41	$164.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Facility		$43.43	$43.43	$43.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Professional		$43.43	$43.43	$43.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $555.00 / $597.00	Facility		$91.55	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $131.24	Professional		$33.32	$33.32	$131.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $37.84 / $60.69	Professional		$25.23	$37.84	$60.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $47.39 / $75.86	Professional		$43.43	$47.39	$75.86