Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $74.13	Professional		$37.15	$66.07	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $186.21	Facility		$138.04	$186.21	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $162.18	Professional		$30.90	$38.90	$162.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $75.86	Facility		$70.79	$75.86	$75.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $104.71	Professional		$37.15	$37.15	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $169.82	Professional		$89.13	$107.15	$169.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $77.62	Professional		$51.29	$54.95	$77.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $102.33	Professional		$75.86	$89.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $74.13	Professional		$30.20	$44.67	$74.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $91.20	Professional		$51.29	$54.95	$91.20