Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $83.18	Professional		$40.74	$72.44	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $204.17	Facility		$154.88	$204.17	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $177.83	Professional		$33.88	$42.66	$177.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $83.18 / $83.18	Facility		$77.62	$83.18	$83.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $109.65	Professional		$42.66	$42.66	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $190.55	Professional		$89.13	$117.49	$190.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $85.11	Professional		$57.54	$61.66	$85.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $117.49	Professional		$83.18	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $81.28	Professional		$33.11	$50.12	$81.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $100.00	Professional		$57.54	$61.66	$100.00