Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $58.38 / $70.20	Professional		$31.83	$58.38	$70.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.93 / $173.92 / $193.24	Facility		$144.93	$173.92	$193.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $41.25 / $154.25	Professional		$32.67	$41.25	$154.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $80.50 / $80.50	Facility		$74.87	$80.50	$80.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $80.50 / $80.50	Professional		$80.50	$80.50	$80.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $117.44 / $209.67	Professional		$99.50	$117.44	$209.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $55.32 / $55.32	Facility		$55.32	$55.32	$55.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $55.32 / $96.62	Professional		$55.32	$55.32	$96.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $555.00 / $597.00	Facility		$99.82	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $167.17	Professional		$37.00	$37.00	$167.17
United Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $48.20 / $88.37	Professional		$32.14	$48.20	$88.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $58.78 / $96.62	Professional		$55.32	$58.78	$96.62