Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $39.65 / $48.24	Professional		$20.32	$39.65	$48.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.46 / $118.15 / $131.28	Facility		$98.46	$118.15	$131.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $28.02 / $104.78	Professional		$22.19	$28.02	$104.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $54.68 / $54.68	Facility		$50.85	$54.68	$54.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Professional		$54.68	$54.68	$54.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $64.87 / $64.87	Facility		$64.87	$64.87	$64.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $88.61 / $142.44	Professional		$65.64	$88.61	$142.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $37.58 / $37.58	Facility		$37.58	$37.58	$37.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $65.64	Professional		$37.58	$37.58	$65.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $555.00 / $597.00	Facility		$64.87	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $113.56	Professional		$23.63	$23.63	$113.56
United Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $32.74 / $52.51	Professional		$21.83	$32.74	$52.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $39.92 / $65.64	Professional		$37.58	$39.92	$65.64