Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $84.88 / $126.49	Professional		$49.60	$84.88	$126.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.48 / $218.97 / $243.30	Facility		$182.48	$218.97	$243.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $51.94 / $194.23	Professional		$41.13	$51.94	$194.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $94.26 / $101.35 / $101.35	Facility		$94.26	$101.35	$101.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $101.35 / $101.35	Professional		$101.35	$101.35	$101.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $184.01 / $184.01	Facility		$184.01	$184.01	$184.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $147.87 / $263.98	Professional		$99.50	$147.87	$263.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $69.66 / $69.66	Facility		$69.66	$69.66	$69.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $69.66 / $121.65	Professional		$69.66	$69.66	$121.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $555.00 / $597.00	Facility		$184.01	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $210.47	Professional		$57.66	$57.66	$210.47
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $60.69 / $104.34	Professional		$40.46	$60.69	$104.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $74.02 / $121.65	Professional		$69.66	$74.02	$121.65