Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $66.86 / $94.62	Professional		$39.72	$66.86	$94.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.48 / $198.58 / $220.64	Facility		$165.48	$198.58	$220.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $47.10 / $176.12	Professional		$37.29	$47.10	$176.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.48 / $91.91 / $91.91	Facility		$85.48	$91.91	$91.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $91.91 / $91.91	Professional		$91.91	$91.91	$91.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $123.64 / $123.64	Facility		$123.64	$123.64	$123.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $46.19	Professional		$46.19	$46.19	$46.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $134.10 / $239.39	Professional		$99.50	$134.10	$239.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $63.16 / $63.16	Facility		$63.16	$63.16	$63.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $63.16 / $110.32	Professional		$63.16	$63.16	$110.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.64 / $555.00 / $597.00	Facility		$123.64	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $46.19 / $190.85	Professional		$46.19	$46.19	$190.85
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $55.04 / $110.37	Professional		$36.69	$55.04	$110.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $67.11 / $110.32	Professional		$63.16	$67.11	$110.32