Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $77.84 / $95.05	Professional		$41.50	$77.84	$95.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $231.89 / $257.66	Facility		$193.25	$231.89	$257.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $55.00 / $205.69	Professional		$43.56	$55.00	$205.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $107.34 / $107.34	Facility		$99.83	$107.34	$107.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $107.34 / $107.34	Professional		$107.34	$107.34	$107.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $128.50 / $128.50	Facility		$128.50	$128.50	$128.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $48.24	Professional		$48.24	$48.24	$48.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $156.60 / $279.56	Professional		$90.00	$156.60	$279.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $73.78 / $73.78	Facility		$73.78	$73.78	$73.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $78.39 / $128.83	Professional		$73.78	$78.39	$128.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $555.00 / $597.00	Facility		$128.50	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $48.24 / $222.88	Professional		$48.24	$48.24	$222.88
United Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $64.28 / $116.00	Professional		$42.85	$64.28	$116.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $78.39 / $128.83	Professional		$73.78	$78.39	$128.83