Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $162.50 / $162.50 / $178.75	Facility		$162.50	$162.50	$178.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $162.50 / $162.50	Professional		$162.50	$162.50	$162.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.71 / $170.71 / $276.55	Facility		$170.71	$170.71	$276.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $170.71 / $170.71	Professional		$145.10	$170.71	$170.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.71 / $176.67 / $176.67	Facility		$170.71	$176.67	$176.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $170.71 / $176.67	Professional		$170.71	$170.71	$176.67
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
United Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $299.33	Professional		$199.56	$199.56	$299.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.71 / $170.71 / $170.71	Facility		$170.71	$170.71	$170.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $170.71 / $176.67	Professional		$170.71	$170.71	$176.67