Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $81.28	Professional		$34.67	$67.61	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $199.53	Facility		$151.36	$199.53	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $173.78	Professional		$33.11	$41.69	$173.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.28 / $81.28	Facility		$75.86	$81.28	$81.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $109.65	Professional		$36.31	$36.31	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $186.21	Professional		$89.13	$114.82	$186.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $83.18	Professional		$56.23	$60.26	$83.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $100.00	Professional		$81.28	$95.50	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $72.44	Professional		$32.36	$48.98	$72.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $97.72	Professional		$56.23	$60.26	$97.72