Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $46.32 / $61.83	Professional		$24.57	$46.32	$61.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $138.01 / $153.34	Facility		$115.01	$138.01	$153.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $32.72 / $122.39	Professional		$25.92	$32.72	$122.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $63.87 / $63.87	Facility		$59.40	$63.87	$63.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $63.87 / $63.87	Professional		$63.87	$63.87	$63.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.06	Facility		$78.06	$78.06	$78.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Professional		$28.56	$28.56	$28.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $93.19 / $166.37	Professional		$76.67	$93.19	$166.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $43.90 / $43.90	Facility		$43.90	$43.90	$43.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $43.90 / $76.67	Professional		$43.90	$43.90	$76.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $555.00 / $597.00	Facility		$78.06	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $28.56 / $132.63	Professional		$28.56	$28.56	$132.63
United Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $38.24 / $69.02	Professional		$25.50	$38.24	$69.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $46.65 / $76.67	Professional		$43.90	$46.65	$76.67