Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $73.66 / $95.29	Professional		$43.77	$73.66	$95.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $208.89 / $232.10	Facility		$174.08	$208.89	$232.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $49.55 / $185.30	Professional		$39.24	$49.55	$185.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $96.69 / $96.69	Facility		$89.92	$96.69	$96.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $96.69 / $96.69 / $96.69	Professional		$96.69	$96.69	$96.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.08 / $138.08 / $138.08	Facility		$138.08	$138.08	$138.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $141.06 / $251.83	Professional		$90.00	$141.06	$251.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $66.45	Facility		$66.45	$66.45	$66.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $66.45 / $66.45	Professional		$22.73	$66.45	$66.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.08 / $555.00 / $597.00	Facility		$138.08	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $200.78	Professional		$50.89	$50.89	$200.78
United Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $57.90 / $96.50	Professional		$38.60	$57.90	$96.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $66.45 / $116.05	Professional		$66.45	$66.45	$116.05