Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $96.63 / $136.13	Professional		$54.99	$96.63	$136.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.43 / $272.92 / $303.24	Facility		$227.43	$272.92	$303.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $64.73 / $242.08	Professional		$51.27	$64.73	$242.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $126.33 / $126.33	Facility		$117.49	$126.33	$126.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $126.33 / $126.33	Professional		$126.33	$126.33	$126.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $180.55	Facility		$180.55	$180.55	$180.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Professional		$63.92	$63.92	$63.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $204.69 / $329.02	Professional		$159.19	$204.69	$329.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $86.82 / $86.82	Facility		$86.82	$86.82	$86.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $86.82 / $151.62	Professional		$86.82	$86.82	$151.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $555.00 / $597.00	Facility		$180.55	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $262.32	Professional		$63.92	$63.92	$262.32
United Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $79.90 / $130.06	Professional		$50.43	$79.90	$130.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $92.24 / $151.62	Professional		$86.82	$92.24	$151.62