Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $72.88 / $100.35	Professional		$42.95	$72.88	$100.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.28 / $197.14 / $219.04	Facility		$164.28	$197.14	$219.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $46.76 / $174.85	Professional		$37.03	$46.76	$174.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $91.25 / $91.25	Facility		$84.86	$91.25	$91.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $91.25 / $91.25	Professional		$91.25	$91.25	$91.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $145.97 / $145.97	Facility		$145.97	$145.97	$145.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $49.92	Professional		$49.92	$49.92	$49.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $133.12 / $237.66	Professional		$99.50	$133.12	$237.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $62.71 / $62.71	Facility		$62.71	$62.71	$62.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $62.71 / $109.52	Professional		$62.71	$62.71	$109.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $555.00 / $597.00	Facility		$145.97	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $49.92 / $189.47	Professional		$49.92	$49.92	$189.47
United Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $54.64 / $87.62	Professional		$36.43	$54.64	$87.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $66.63 / $109.52	Professional		$62.71	$66.63	$109.52