Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $49.31 / $62.55	Professional		$25.28	$49.31	$62.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $146.91 / $163.24	Facility		$122.43	$146.91	$163.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $34.84 / $130.30	Professional		$27.59	$34.84	$130.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.24 / $68.00 / $68.00	Facility		$63.24	$68.00	$68.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $80.20 / $80.20	Facility		$80.20	$80.20	$80.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $99.21 / $177.12	Professional		$81.62	$99.21	$177.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $46.74 / $46.74	Facility		$46.74	$46.74	$46.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $46.74 / $81.62	Professional		$46.74	$46.74	$81.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $555.00 / $597.00	Facility		$80.20	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $141.19	Professional		$29.38	$29.38	$141.19
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $40.72 / $68.61	Professional		$27.14	$40.72	$68.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $49.66 / $81.62	Professional		$46.74	$49.66	$81.62