Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $34.90 / $44.60	Professional		$17.89	$34.90	$44.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $104.02 / $115.58	Facility		$86.69	$104.02	$115.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $24.67 / $92.26	Professional		$19.53	$24.67	$92.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $48.14 / $48.14	Facility		$44.77	$48.14	$48.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $48.14 / $48.14	Professional		$48.14	$48.14	$48.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $58.78 / $58.78	Facility		$58.78	$58.78	$58.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $20.80	Professional		$20.80	$20.80	$20.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $78.02 / $125.40	Professional		$60.68	$78.02	$125.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $33.09 / $33.09	Facility		$33.09	$33.09	$33.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $33.09 / $33.09	Professional		$8.08	$33.09	$33.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $555.00 / $597.00	Facility		$58.78	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $20.80 / $99.97	Professional		$20.80	$20.80	$99.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $28.83 / $49.81	Professional		$19.22	$28.83	$49.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $36.11 / $57.79	Professional		$33.09	$36.11	$57.79