Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $50.77 / $75.93	Professional		$30.17	$50.77	$75.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $131.53 / $146.13	Facility		$109.61	$131.53	$146.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $60.36 / $142.37	Professional		$58.05	$60.36	$142.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.62 / $60.88 / $60.88	Facility		$56.62	$60.88	$60.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $60.88 / $60.88	Professional		$60.88	$60.88	$60.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $93.09 / $93.09	Facility		$93.09	$93.09	$93.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Professional		$35.07	$35.07	$35.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $95.72 / $158.56	Professional		$76.72	$95.72	$158.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $41.83 / $41.83	Facility		$41.83	$41.83	$41.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $43.92 / $73.06	Professional		$41.83	$43.92	$73.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $555.00 / $597.00	Facility		$93.09	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $126.42	Professional		$35.07	$35.07	$126.42
United Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $36.46 / $62.98	Professional		$24.30	$36.46	$62.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $46.67 / $74.93	Professional		$41.83	$46.67	$74.93