Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $60.25 / $86.05	Professional		$36.65	$60.25	$86.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.52 / $165.02 / $183.36	Facility		$137.52	$165.02	$183.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $39.14 / $146.36	Professional		$30.99	$39.14	$146.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.03 / $76.38 / $76.38	Facility		$71.03	$76.38	$76.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $76.38 / $76.38	Professional		$76.38	$76.38	$76.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.44 / $115.44 / $115.44	Facility		$115.44	$115.44	$115.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $111.44 / $198.95	Professional		$90.00	$111.44	$198.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $52.50	Facility		$52.50	$52.50	$52.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $52.50 / $52.50	Professional		$18.69	$52.50	$52.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $115.44 / $555.00 / $597.00	Facility		$115.44	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $158.61	Professional		$42.61	$42.61	$158.61
United Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $45.74 / $78.63	Professional		$30.49	$45.74	$78.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $57.28 / $91.68	Professional		$52.50	$57.28	$91.68