Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $53.83 / $70.98	Professional		$27.59	$53.83	$70.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $160.38 / $178.20	Facility		$133.65	$160.38	$178.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $38.04 / $142.24	Professional		$30.12	$38.04	$142.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $74.23 / $74.23	Facility		$69.04	$74.23	$74.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Professional		$74.23	$74.23	$74.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $32.08	Professional		$32.08	$32.08	$32.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $108.30 / $193.35	Professional		$89.10	$108.30	$193.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $51.02 / $51.02	Facility		$51.02	$51.02	$51.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $51.02 / $89.10	Professional		$51.02	$51.02	$89.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $555.00 / $597.00	Facility		$88.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $32.08 / $154.15	Professional		$32.08	$32.08	$154.15
United Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $44.45 / $74.91	Professional		$29.64	$44.45	$74.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $54.20 / $89.10	Professional		$51.02	$54.20	$89.10