Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $62.94 / $73.33	Professional		$33.29	$62.94	$73.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.27 / $187.52 / $208.36	Facility		$156.27	$187.52	$208.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $44.48 / $166.33	Professional		$35.22	$44.48	$166.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $86.79 / $86.79	Facility		$80.70	$86.79	$86.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $86.79 / $86.79	Professional		$86.79	$86.79	$86.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $104.18 / $104.18	Facility		$104.18	$104.18	$104.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $38.71	Professional		$38.71	$38.71	$38.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $126.63 / $226.07	Professional		$99.50	$126.63	$226.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.65 / $59.65 / $59.65	Facility		$59.65	$59.65	$59.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $59.65 / $104.18	Professional		$59.65	$59.65	$104.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $555.00 / $597.00	Facility		$104.18	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $38.71 / $180.24	Professional		$38.71	$38.71	$180.24
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $51.97 / $89.79	Professional		$34.65	$51.97	$89.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $63.38 / $104.18	Professional		$59.65	$63.38	$104.18