Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $54.95	Professional		$23.99	$45.71	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $141.25	Facility		$104.71	$141.25	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $123.03	Professional		$23.44	$29.51	$123.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $57.54	Facility		$53.70	$57.54	$57.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $69.18	Professional		$25.70	$25.70	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $128.82	Professional		$70.79	$89.13	$128.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $58.88	Professional		$39.81	$41.69	$58.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Professional		$67.61	$67.61	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $53.70	Professional		$22.91	$34.67	$53.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $69.18	Professional		$39.81	$41.69	$69.18