Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $89.63 / $138.55	Professional		$53.27	$89.63	$138.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.07 / $249.68 / $277.42	Facility		$208.07	$249.68	$277.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $59.22 / $221.44	Professional		$46.90	$59.22	$221.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $115.57 / $115.57	Facility		$107.48	$115.57	$115.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $115.57 / $115.57	Professional		$115.57	$115.57	$115.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.56 / $201.56 / $201.56	Facility		$201.56	$201.56	$201.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $168.61 / $301.00	Professional		$99.50	$168.61	$301.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.42 / $79.42 / $79.42	Facility		$79.42	$79.42	$79.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $79.42 / $138.71	Professional		$79.42	$79.42	$138.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $201.56 / $555.00 / $597.00	Facility		$201.56	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $239.98	Professional		$61.92	$61.92	$239.98
United Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $69.20 / $119.56	Professional		$46.14	$69.20	$119.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $84.39 / $138.71	Professional		$79.42	$84.39	$138.71