Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $25.64 / $30.23	Professional		$14.15	$25.64	$30.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $76.37 / $84.86	Facility		$63.65	$76.37	$84.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $18.12 / $67.73	Professional		$14.35	$18.12	$67.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $35.36 / $35.36	Facility		$32.88	$35.36	$35.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $35.36 / $35.36	Professional		$35.36	$35.36	$35.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $45.91 / $45.91	Facility		$45.91	$45.91	$45.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $57.28 / $92.07	Professional		$44.55	$57.28	$92.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $24.30 / $24.30	Facility		$24.30	$24.30	$24.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $24.30 / $24.30	Professional		$12.12	$24.30	$24.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $555.00 / $597.00	Facility		$45.91	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $73.42	Professional		$16.45	$16.45	$73.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $21.17 / $38.82	Professional		$14.12	$21.17	$38.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $26.50 / $42.43	Professional		$24.30	$26.50	$42.43