Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $96.95 / $116.73	Professional		$53.55	$96.95	$116.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $311.27 / $345.86	Facility		$259.39	$311.27	$345.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $73.83 / $276.08	Professional		$56.47	$73.83	$276.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.99 / $144.08 / $144.08	Facility		$133.99	$144.08	$144.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $144.08 / $144.08	Professional		$144.08	$144.08	$144.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $169.89 / $169.89	Facility		$169.89	$169.89	$169.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $62.26	Professional		$62.26	$62.26	$62.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.93 / $224.81 / $375.26	Professional		$172.93	$224.81	$375.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $99.02 / $99.02	Facility		$99.02	$99.02	$99.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $99.02 / $172.93	Professional		$99.02	$99.02	$172.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $555.00 / $597.00	Facility		$169.89	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $299.19	Professional		$62.26	$62.26	$299.19
United Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $86.27 / $158.16	Professional		$57.52	$86.27	$158.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $105.21 / $172.93	Professional		$99.02	$105.21	$172.93