Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $52.06 / $63.02	Professional		$28.32	$52.06	$63.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.24 / $155.09 / $172.32	Facility		$129.24	$155.09	$172.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $36.79 / $137.54	Professional		$29.13	$36.79	$137.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.76 / $71.79 / $71.79	Facility		$66.76	$71.79	$71.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $71.79 / $71.79	Professional		$71.79	$71.79	$71.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $88.71 / $88.71	Facility		$88.71	$88.71	$88.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $32.92	Professional		$32.92	$32.92	$32.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $104.73 / $186.97	Professional		$86.16	$104.73	$186.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Facility		$49.33	$49.33	$49.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $86.16	Professional		$49.33	$49.33	$86.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $555.00 / $597.00	Facility		$88.71	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $149.06	Professional		$32.92	$32.92	$149.06
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $42.99 / $73.91	Professional		$28.66	$42.99	$73.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $52.41 / $86.16	Professional		$49.33	$52.41	$86.16