Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $55.98 / $66.36	Professional		$28.97	$55.98	$66.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.97 / $166.77 / $185.30	Facility		$138.97	$166.77	$185.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $39.54 / $147.91	Professional		$31.32	$39.54	$147.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.79 / $77.19 / $77.19	Facility		$71.79	$77.19	$77.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $77.19 / $77.19	Professional		$77.19	$77.19	$77.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $89.90	Facility		$89.90	$89.90	$89.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $33.68	Professional		$33.68	$33.68	$33.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $112.62 / $201.05	Professional		$90.00	$112.62	$201.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $53.04 / $53.04	Facility		$53.04	$53.04	$53.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $53.04 / $92.65	Professional		$53.04	$53.04	$92.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $555.00 / $597.00	Facility		$89.90	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $160.29	Professional		$33.68	$33.68	$160.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $46.22 / $79.47	Professional		$30.82	$46.22	$79.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $56.36 / $92.65	Professional		$53.04	$56.36	$92.65