Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $69.48 / $91.46	Professional		$36.34	$69.48	$91.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.87 / $181.04 / $201.16	Facility		$150.87	$181.04	$201.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $42.94 / $160.57	Professional		$34.00	$42.94	$160.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.93 / $83.80 / $83.80	Facility		$77.93	$83.80	$83.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $83.80 / $83.80	Professional		$83.80	$83.80	$83.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $117.88 / $117.88	Facility		$117.88	$117.88	$117.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $42.25	Professional		$42.25	$42.25	$42.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $122.26 / $218.26	Professional		$90.00	$122.26	$218.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $57.59 / $57.59	Facility		$57.59	$57.59	$57.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $57.59 / $57.59	Professional		$57.59	$57.59	$57.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $555.00 / $597.00	Facility		$117.88	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $174.01	Professional		$42.25	$42.25	$174.01
United Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $50.18 / $92.21	Professional		$33.45	$50.18	$92.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $62.84 / $100.58	Professional		$57.59	$62.84	$100.58