Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $85.68 / $472.68	Professional		$40.00	$85.68	$472.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $50.00 / $123.83	Professional		$39.43	$50.00	$123.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Facility		$73.00	$73.00	$73.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.86 / $366.86 / $366.86	Facility		$366.86	$366.86	$366.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $420.70 / $999.04	Professional		$107.33	$420.70	$999.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $121.60 / $254.01	Professional		$102.91	$121.60	$254.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $83.86 / $83.86	Facility		$83.86	$83.86	$83.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $83.86 / $161.26	Professional		$44.24	$83.86	$161.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $366.86 / $555.00 / $597.00	Facility		$366.86	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $420.70 / $999.04	Professional		$107.33	$420.70	$999.04
United Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $50.17 / $112.47	Professional		$33.29	$50.17	$112.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $83.86 / $83.86	Facility		$83.86	$83.86	$83.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $83.86 / $161.26	Professional		$83.86	$83.86	$161.26