Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $49.75 / $75.00	Professional		$28.78	$49.75	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $137.69 / $153.00	Facility		$114.75	$137.69	$153.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $32.65 / $122.12	Professional		$25.86	$32.65	$122.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $63.74 / $63.74	Facility		$59.28	$63.74	$63.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $63.74 / $63.74	Professional		$63.74	$63.74	$63.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $90.57 / $90.57	Facility		$90.57	$90.57	$90.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $92.99 / $166.01	Professional		$76.50	$92.99	$166.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $43.80 / $43.80	Facility		$43.80	$43.80	$43.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $43.80 / $76.50	Professional		$43.80	$43.80	$76.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $555.00 / $597.00	Facility		$90.57	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $136.68	Professional		$33.45	$33.45	$136.68
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $38.17 / $69.97	Professional		$25.44	$38.17	$69.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $46.54 / $76.50	Professional		$43.80	$46.54	$76.50