Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $50.65 / $67.83	Professional		$25.97	$50.65	$67.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $150.91 / $167.68	Facility		$125.76	$150.91	$167.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $35.79 / $133.85	Professional		$28.34	$35.79	$133.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $69.84 / $69.84	Facility		$64.95	$69.84	$69.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Professional		$69.84	$69.84	$69.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $83.10 / $83.10	Facility		$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $113.18 / $181.93	Professional		$88.03	$113.18	$181.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.10 / $555.00 / $597.00	Facility		$83.10	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $145.04	Professional		$30.18	$30.18	$145.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $43.29 / $67.06	Professional		$27.88	$43.29	$67.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $52.39 / $83.84	Professional		$48.00	$52.39	$83.84