Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $41.84 / $51.41	Professional		$21.45	$41.84	$51.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $124.65 / $138.50	Facility		$103.88	$124.65	$138.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $29.57 / $110.58	Professional		$23.41	$29.57	$110.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $57.70 / $57.70	Facility		$53.66	$57.70	$57.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Professional		$57.70	$57.70	$57.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.19 / $69.19 / $69.19	Facility		$69.19	$69.19	$69.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $24.93	Professional		$24.93	$24.93	$24.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $90.00 / $150.27	Professional		$69.25	$90.00	$150.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Facility		$39.65	$39.65	$39.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $69.25	Professional		$39.65	$39.65	$69.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.19 / $555.00 / $597.00	Facility		$69.19	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $24.93 / $119.81	Professional		$24.93	$24.93	$119.81
United Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $34.54 / $59.70	Professional		$23.04	$34.54	$59.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $42.13 / $69.25	Professional		$39.65	$42.13	$69.25