Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,196.00 / $28,202.00 / $64,677.00	Facility		$6,196.00	$28,202.00	$64,677.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $129.69 / $240.26	Professional		$102.28	$129.69	$240.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $5,064.50 / $10,129.00 / $15,193.50	Facility		$5,064.50	$10,129.00	$15,193.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $497.00 / $20,953.00	Facility		$497.00	$497.00	$20,953.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $105.76 / $105.76	Professional		$105.76	$105.76	$105.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $118.85 / $118.85	Professional		$105.76	$118.85	$118.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $13,085.00 / $74,999.25	Facility		$555.00	$13,085.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $127.19 / $131.01	Professional		$127.19	$127.19	$131.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $118.85 / $118.85	Professional		$118.85	$118.85	$118.85