Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $114.82	Professional		$52.48	$85.11	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $229.09	Facility		$169.82	$229.09	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $199.53	Professional		$38.02	$47.86	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $93.33 / $93.33	Facility		$87.10	$93.33	$93.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $134.90	Professional		$48.98	$48.98	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $208.93	Professional		$100.00	$125.89	$208.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $95.50	Professional		$63.10	$67.61	$95.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $91.20	Professional		$37.15	$54.95	$91.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $112.20	Professional		$63.10	$67.61	$112.20