Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $64.23 / $83.01	Professional		$37.61	$64.23	$83.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $191.36 / $212.62	Facility		$159.47	$191.36	$212.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $45.38 / $169.71	Professional		$35.94	$45.38	$169.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $88.57 / $88.57	Facility		$82.37	$88.57	$88.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $88.57 / $88.57	Professional		$88.57	$88.57	$88.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.47 / $117.47 / $117.47	Facility		$117.47	$117.47	$117.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $129.22 / $230.69	Professional		$99.50	$129.22	$230.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.87 / $60.87 / $60.87	Facility		$60.87	$60.87	$60.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $60.87 / $106.31	Professional		$60.87	$60.87	$106.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.47 / $555.00 / $597.00	Facility		$117.47	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $183.93	Professional		$43.73	$43.73	$183.93
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $53.03 / $91.62	Professional		$35.36	$53.03	$91.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $64.68 / $106.31	Professional		$60.87	$64.68	$106.31