Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $95.50	Professional		$37.15	$67.61	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $223.87	Facility		$165.96	$223.87	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $194.98	Professional		$37.15	$46.77	$194.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $91.20 / $91.20	Facility		$85.11	$91.20	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $125.89	Professional		$38.90	$38.90	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $204.17	Professional		$89.13	$128.82	$204.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $109.65	Professional		$61.66	$66.07	$109.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $109.65	Professional		$91.20	$107.15	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $81.28	Professional		$36.31	$53.70	$81.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $109.65	Professional		$61.66	$66.07	$109.65