Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $64.61 / $82.77	Professional		$38.18	$64.61	$82.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $190.37 / $211.52	Facility		$158.63	$190.37	$211.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $45.15 / $168.83	Professional		$35.75	$45.15	$168.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $88.11 / $88.11	Facility		$81.94	$88.11	$88.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.11 / $88.11 / $88.11	Professional		$88.11	$88.11	$88.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $119.89 / $119.89	Facility		$119.89	$119.89	$119.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $44.38	Professional		$44.38	$44.38	$44.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $128.55 / $229.50	Professional		$90.00	$128.55	$229.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $105.76	Professional		$60.55	$60.55	$105.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.89 / $555.00 / $597.00	Facility		$119.89	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $44.38 / $182.97	Professional		$44.38	$44.38	$182.97
United Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $52.76 / $96.72	Professional		$35.17	$52.76	$96.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $64.34 / $105.76	Professional		$60.55	$64.34	$105.76