Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $68.88 / $86.91	Professional		$38.13	$68.88	$86.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.61 / $175.93 / $195.48	Facility		$146.61	$175.93	$195.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $41.73 / $156.04	Professional		$33.04	$41.73	$156.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $81.43 / $81.43	Facility		$75.73	$81.43	$81.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $81.43 / $81.43	Professional		$81.43	$81.43	$81.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Professional		$44.32	$44.32	$44.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $118.80 / $212.10	Professional		$99.50	$118.80	$212.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.96 / $55.96 / $55.96	Facility		$55.96	$55.96	$55.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $55.96 / $97.74	Professional		$55.96	$55.96	$97.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $555.00 / $597.00	Facility		$119.60	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $169.10	Professional		$44.32	$44.32	$169.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $48.76 / $88.00	Professional		$32.51	$48.76	$88.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $59.46 / $97.74	Professional		$55.96	$59.46	$97.74