Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $64.94 / $88.96	Professional		$38.59	$64.94	$88.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.24 / $193.48 / $214.98	Facility		$161.24	$193.48	$214.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $45.89 / $171.59	Professional		$36.34	$45.89	$171.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $89.55 / $89.55	Facility		$83.28	$89.55	$89.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.55 / $89.55 / $89.55	Professional		$89.55	$89.55	$89.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $126.49 / $126.49	Facility		$126.49	$126.49	$126.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $44.86	Professional		$44.86	$44.86	$44.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $130.65 / $233.25	Professional		$99.50	$130.65	$233.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $107.49	Professional		$61.54	$61.54	$107.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $555.00 / $597.00	Facility		$126.49	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $44.86 / $185.96	Professional		$44.86	$44.86	$185.96
United Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $53.62 / $98.31	Professional		$35.75	$53.62	$98.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $65.38 / $107.49	Professional		$61.54	$65.38	$107.49