Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $89.13	Professional		$45.71	$77.62	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $213.80	Facility		$162.18	$213.80	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $186.21	Professional		$36.31	$44.67	$186.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $89.13	Facility		$81.28	$89.13	$89.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $120.23	Professional		$44.67	$44.67	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $199.53	Professional		$89.13	$123.03	$199.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $89.13	Professional		$60.26	$64.57	$89.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $123.03	Professional		$87.10	$102.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $87.10	Professional		$35.48	$52.48	$87.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $104.71	Professional		$60.26	$64.57	$104.71