Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $53.64 / $62.71	Professional		$27.69	$53.64	$62.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.28 / $159.93 / $177.70	Facility		$133.28	$159.93	$177.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $37.93 / $141.83	Professional		$29.01	$37.93	$141.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $74.02 / $74.02	Facility		$68.84	$74.02	$74.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $87.14 / $87.14	Facility		$87.14	$87.14	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $32.19	Professional		$32.19	$32.19	$32.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $108.00 / $192.80	Professional		$88.85	$108.00	$192.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Facility		$50.86	$50.86	$50.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $88.85	Professional		$50.86	$50.86	$88.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $555.00 / $597.00	Facility		$87.14	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $32.19 / $153.72	Professional		$32.19	$32.19	$153.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $44.32 / $76.56	Professional		$29.55	$44.32	$76.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $54.04 / $88.85	Professional		$50.86	$54.04	$88.85