Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $68.39 / $93.68	Professional		$40.64	$68.39	$93.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $178.43 / $198.26	Facility		$148.69	$178.43	$198.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $42.33 / $158.29	Professional		$33.52	$42.33	$158.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $82.60 / $82.60	Facility		$76.81	$82.60	$82.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $82.60 / $82.60	Professional		$82.60	$82.60	$82.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $124.14 / $124.14	Facility		$124.14	$124.14	$124.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $47.24	Professional		$47.24	$47.24	$47.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $120.50 / $215.11	Professional		$99.50	$120.50	$215.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $56.76 / $56.76	Facility		$56.76	$56.76	$56.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $56.76 / $99.13	Professional		$56.76	$56.76	$99.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $555.00 / $597.00	Facility		$124.14	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $171.51	Professional		$47.24	$47.24	$171.51
United Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $51.26 / $90.68	Professional		$32.97	$51.26	$90.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $60.31 / $99.13	Professional		$56.76	$60.31	$99.13