Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $128.82	Professional		$61.66	$100.00	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $245.47	Facility		$186.21	$245.47	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $213.80	Professional		$41.69	$52.48	$213.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $102.33 / $102.33	Facility		$93.33	$102.33	$102.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $154.88	Professional		$57.54	$57.54	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $229.09	Professional		$100.00	$138.04	$229.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $102.33	Professional		$69.18	$74.13	$102.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $158.49	Professional		$117.49	$117.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $100.00	Professional		$40.74	$60.26	$100.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $123.03	Professional		$69.18	$74.13	$123.03