Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $54.35 / $73.40	Professional		$32.32	$54.35	$73.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $153.90 / $171.00	Facility		$128.25	$153.90	$171.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $36.51 / $136.54	Professional		$28.91	$36.51	$136.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $71.23 / $71.23	Facility		$66.25	$71.23	$71.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $71.23	Professional		$71.23	$71.23	$71.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $103.24 / $103.24	Facility		$103.24	$103.24	$103.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $37.57	Professional		$37.57	$37.57	$37.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $115.43 / $185.54	Professional		$89.78	$115.43	$185.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $48.97 / $48.97	Facility		$48.97	$48.97	$48.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $48.97	Professional		$48.97	$48.97	$48.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $555.00 / $597.00	Facility		$103.24	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $37.57 / $147.93	Professional		$37.57	$37.57	$147.93
United Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $42.66 / $78.20	Professional		$28.44	$42.66	$78.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $85.50	Professional		$48.97	$48.97	$85.50