Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $76.34 / $105.59	Professional		$44.15	$76.34	$105.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.01 / $193.21 / $214.68	Facility		$161.01	$193.21	$214.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $45.82 / $171.34	Professional		$36.28	$45.82	$171.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $89.42 / $89.42	Facility		$83.16	$89.42	$89.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $89.42 / $89.42	Professional		$89.42	$89.42	$89.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.94 / $152.94 / $152.94	Facility		$152.94	$152.94	$152.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Professional		$51.33	$51.33	$51.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $130.47 / $232.93	Professional		$99.50	$130.47	$232.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $61.46 / $61.46	Facility		$61.46	$61.46	$61.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $61.46 / $107.34	Professional		$61.46	$61.46	$107.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $152.94 / $555.00 / $597.00	Facility		$152.94	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $51.33 / $185.74	Professional		$51.33	$51.33	$185.74
United Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $53.54 / $92.05	Professional		$35.70	$53.54	$92.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.46 / $65.30 / $107.34	Professional		$61.46	$65.30	$107.34