Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $158.49	Professional		$85.11	$120.23	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $354.81	Facility		$263.03	$354.81	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $309.03	Professional		$58.88	$74.13	$309.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $144.54	Facility		$134.90	$144.54	$144.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $177.83	Professional		$69.18	$69.18	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $323.59	Professional		$100.00	$194.98	$323.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $190.55	Professional		$169.82	$169.82	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $141.25	Professional		$57.54	$87.10	$141.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $173.78	Professional		$100.00	$100.00	$173.78