Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $69.44 / $88.59	Professional		$39.42	$69.44	$88.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.69 / $191.63 / $212.92	Facility		$159.69	$191.63	$212.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $45.45 / $169.98	Professional		$35.99	$45.45	$169.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $88.70 / $88.70	Facility		$82.49	$88.70	$88.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $88.70 / $88.70	Professional		$88.70	$88.70	$88.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $124.79 / $124.79	Facility		$124.79	$124.79	$124.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $45.83	Professional		$45.83	$45.83	$45.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $129.40 / $231.02	Professional		$99.50	$129.40	$231.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $60.96	Facility		$60.96	$60.96	$60.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $60.96 / $106.46	Professional		$60.96	$60.96	$106.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $555.00 / $597.00	Facility		$124.79	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $184.18	Professional		$45.83	$45.83	$184.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $53.11 / $91.76	Professional		$35.40	$53.11	$91.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $64.77 / $106.46	Professional		$60.96	$64.77	$106.46