Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $64.57	Professional		$26.92	$48.98	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $138.04	Facility		$104.71	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $120.23	Professional		$23.44	$28.84	$120.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $57.54	Facility		$52.48	$57.54	$57.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $93.33	Professional		$28.84	$28.84	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $128.82	Professional		$69.18	$93.33	$128.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Professional		$66.07	$66.07	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $56.23	Professional		$22.91	$33.88	$56.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $67.61	Professional		$38.90	$38.90	$67.61