Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $37.40 / $50.37	Professional		$21.71	$37.40	$50.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.89 / $109.06 / $121.18	Facility		$90.89	$109.06	$121.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $25.87 / $96.73	Professional		$20.48	$25.87	$96.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $50.48 / $50.48	Facility		$46.95	$50.48	$50.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $50.48 / $50.48	Professional		$50.48	$50.48	$50.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $68.80 / $68.80	Facility		$68.80	$68.80	$68.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $25.24	Professional		$25.24	$25.24	$25.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.62 / $81.80 / $131.47	Professional		$63.62	$81.80	$131.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $34.70 / $34.70	Facility		$34.70	$34.70	$34.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $34.70 / $60.59	Professional		$34.70	$34.70	$60.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $555.00 / $597.00	Facility		$68.80	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $25.24 / $104.83	Professional		$25.24	$25.24	$104.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $30.23 / $51.97	Professional		$20.14	$30.23	$51.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $36.86 / $60.59	Professional		$34.70	$36.86	$60.59