Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $51.34 / $61.37	Professional		$26.80	$51.34	$61.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.44 / $152.93 / $169.92	Facility		$127.44	$152.93	$169.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $36.28 / $135.66	Professional		$28.60	$36.28	$135.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $70.79 / $70.79	Facility		$65.83	$70.79	$70.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $83.58 / $83.58	Facility		$83.58	$83.58	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $103.27 / $184.36	Professional		$84.96	$103.27	$184.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $48.66 / $48.66	Facility		$48.66	$48.66	$48.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $48.66 / $84.96	Professional		$48.66	$48.66	$84.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.58 / $555.00 / $597.00	Facility		$83.58	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $146.99	Professional		$31.15	$31.15	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $42.39 / $73.23	Professional		$28.26	$42.39	$73.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $51.70 / $84.96	Professional		$48.66	$51.70	$84.96