Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $47.31 / $61.89	Professional		$24.25	$47.31	$61.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $140.91 / $156.58	Facility		$117.44	$140.91	$156.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $33.43 / $125.00	Professional		$26.47	$33.43	$125.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $65.23 / $65.23	Facility		$60.66	$65.23	$65.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $65.23 / $65.23	Professional		$65.23	$65.23	$65.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $90.02 / $90.02	Facility		$90.02	$90.02	$90.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $28.19	Professional		$28.19	$28.19	$28.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $95.16 / $169.89	Professional		$78.29	$95.16	$169.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $44.83 / $44.83	Facility		$44.83	$44.83	$44.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $44.83 / $78.29	Professional		$44.83	$44.83	$78.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $555.00 / $597.00	Facility		$90.02	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $135.46	Professional		$28.19	$28.19	$135.46
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $39.06 / $71.61	Professional		$26.04	$39.06	$71.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $47.63 / $78.29	Professional		$44.83	$47.63	$78.29