Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $59.15 / $75.70	Professional		$31.10	$59.15	$75.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.85 / $176.22 / $195.80	Facility		$146.85	$176.22	$195.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $41.80 / $156.31	Professional		$33.10	$41.80	$156.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.56 / $81.56	Facility		$75.86	$81.56	$81.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $81.56 / $81.56	Professional		$81.56	$81.56	$81.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $108.17 / $108.17	Facility		$108.17	$108.17	$108.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $36.14	Professional		$36.14	$36.14	$36.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $119.00 / $212.44	Professional		$90.00	$119.00	$212.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $56.06 / $56.06	Facility		$56.06	$56.06	$56.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $56.06 / $97.90	Professional		$56.06	$56.06	$97.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $555.00 / $597.00	Facility		$108.17	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $169.38	Professional		$36.14	$36.14	$169.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $48.85 / $88.15	Professional		$32.56	$48.85	$88.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $59.57 / $97.90	Professional		$56.06	$59.57	$97.90