Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $63.27 / $86.99	Professional		$35.29	$63.27	$86.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.93 / $173.92 / $193.24	Facility		$144.93	$173.92	$193.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $41.25 / $154.25	Professional		$32.67	$41.25	$154.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $80.50 / $80.50	Facility		$74.87	$80.50	$80.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $80.50 / $80.50	Professional		$80.50	$80.50	$80.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $41.03	Professional		$41.03	$41.03	$41.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $117.44 / $209.67	Professional		$90.00	$117.44	$209.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $55.32 / $55.32	Facility		$55.32	$55.32	$55.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $55.32 / $96.62	Professional		$55.32	$55.32	$96.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $555.00 / $597.00	Facility		$126.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $41.03 / $167.17	Professional		$41.03	$41.03	$167.17
United Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $48.20 / $87.00	Professional		$32.14	$48.20	$87.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $58.78 / $96.62	Professional		$55.32	$58.78	$96.62