Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $64.47 / $84.63	Professional		$37.79	$64.47	$84.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $183.51 / $203.90	Facility		$152.93	$183.51	$203.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $43.52 / $162.76	Professional		$34.46	$43.52	$162.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $84.94 / $84.94	Facility		$78.98	$84.94	$84.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $84.94 / $84.94	Professional		$84.94	$84.94	$84.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $118.39 / $118.39	Facility		$118.39	$118.39	$118.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $43.93	Professional		$43.93	$43.93	$43.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $123.92 / $221.23	Professional		$90.00	$123.92	$221.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.37 / $58.37 / $58.37	Facility		$58.37	$58.37	$58.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $58.37 / $101.95	Professional		$58.37	$58.37	$101.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $555.00 / $597.00	Facility		$118.39	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $43.93 / $176.38	Professional		$43.93	$43.93	$176.38
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $50.86 / $87.44	Professional		$33.90	$50.86	$87.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $62.02 / $101.95	Professional		$58.37	$62.02	$101.95