Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $41.65 / $53.16	Professional		$22.21	$41.65	$53.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.41 / $124.09 / $137.88	Facility		$103.41	$124.09	$137.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $29.43 / $110.07	Professional		$23.30	$29.43	$110.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $57.43 / $57.43	Facility		$53.41	$57.43	$57.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $57.43 / $57.43	Professional		$57.43	$57.43	$57.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Facility		$70.56	$70.56	$70.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $25.82	Professional		$25.82	$25.82	$25.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $90.00 / $149.60	Professional		$68.94	$90.00	$149.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $39.47 / $68.94	Professional		$39.47	$39.47	$68.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $555.00 / $597.00	Facility		$70.56	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $25.82 / $119.26	Professional		$25.82	$25.82	$119.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $34.39 / $59.13	Professional		$22.93	$34.39	$59.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $41.95 / $68.94	Professional		$39.47	$41.95	$68.94