Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $43.79 / $51.93	Professional		$22.56	$43.79	$51.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $130.46 / $144.96	Facility		$108.72	$130.46	$144.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $30.95 / $115.72	Professional		$24.51	$30.95	$115.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $60.39 / $60.39	Facility		$56.16	$60.39	$60.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $60.39 / $60.39	Professional		$60.39	$60.39	$60.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $90.00 / $157.28	Professional		$72.48	$90.00	$157.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $41.50 / $41.50	Facility		$41.50	$41.50	$41.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $41.50 / $72.48	Professional		$41.50	$41.50	$72.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $555.00 / $597.00	Facility		$70.70	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $125.39	Professional		$26.22	$26.22	$125.39
United Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $36.15 / $66.45	Professional		$24.11	$36.15	$66.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $44.09 / $72.48	Professional		$41.50	$44.09	$72.48