Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $76.01 / $95.91	Professional		$44.41	$76.01	$95.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $194.44 / $216.04	Facility		$162.03	$194.44	$216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $46.12 / $172.44	Professional		$36.52	$46.12	$172.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $90.00 / $90.00	Facility		$83.70	$90.00	$90.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.02 / $140.02 / $140.02	Facility		$140.02	$140.02	$140.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Professional		$51.62	$51.62	$51.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $131.30 / $234.40	Professional		$99.50	$131.30	$234.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $61.84 / $61.84	Facility		$61.84	$61.84	$61.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $61.84 / $108.02	Professional		$61.84	$61.84	$108.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.02 / $555.00 / $597.00	Facility		$140.02	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $186.89	Professional		$51.62	$51.62	$186.89
United Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $53.89 / $98.80	Professional		$35.93	$53.89	$98.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $65.70 / $108.02	Professional		$61.84	$65.70	$108.02