Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $53.70	Professional		$21.88	$40.74	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $134.90	Facility		$100.00	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $117.49	Professional		$22.39	$28.18	$117.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $54.95 / $54.95	Facility		$51.29	$54.95	$54.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $66.07	Professional		$23.99	$23.99	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $125.89	Professional		$67.61	$89.13	$125.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $56.23	Professional		$38.02	$39.81	$56.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $75.86	Professional		$64.57	$64.57	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $51.29	Professional		$21.88	$33.11	$51.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $66.07	Professional		$38.02	$39.81	$66.07