Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $124.26 / $191.54	Professional		$53.00	$124.26	$191.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $110.00	Facility		$100.00	$100.00	$110.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $90.90 / $109.08	Professional		$90.90	$90.90	$109.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $196.01	Professional		$81.59	$81.59	$196.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Professional		$90.90	$90.90	$90.90