Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $57.69 / $73.62	Professional		$31.13	$57.69	$73.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $168.46 / $187.18	Facility		$140.38	$168.46	$187.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $39.96 / $149.41	Professional		$31.64	$39.96	$149.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $77.97 / $77.97	Facility		$72.51	$77.97	$77.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $77.97 / $77.97	Professional		$77.97	$77.97	$77.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $105.38 / $105.38	Facility		$105.38	$105.38	$105.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $36.19	Professional		$36.19	$36.19	$36.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $113.76 / $203.09	Professional		$90.00	$113.76	$203.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $53.58 / $53.58	Facility		$53.58	$53.58	$53.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $53.58 / $93.59	Professional		$53.58	$53.58	$93.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $555.00 / $597.00	Facility		$105.38	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $36.19 / $161.91	Professional		$36.19	$36.19	$161.91
United Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $46.69 / $84.26	Professional		$31.12	$46.69	$84.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $56.92 / $93.59	Professional		$53.58	$56.92	$93.59