Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $81.42 / $179.04	Facility		$37.67	$81.42	$179.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $53.95 / $134.97	Professional		$34.20	$53.95	$134.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $69.34 / $147.61	Professional		$55.84	$69.34	$147.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $46.66 / $66.73	Facility		$46.66	$46.66	$66.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $66.73 / $113.40	Professional		$46.66	$66.73	$113.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $533.58 / $629.62	Facility		$90.23	$533.58	$629.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $106.78 / $244.88	Professional		$57.26	$106.78	$244.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.97 / $73.33 / $332.00	Facility		$40.97	$73.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $102.48 / $165.25	Professional		$80.09	$102.48	$165.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $104.06 / $162.46	Professional		$65.81	$104.06	$162.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $254.50 / $629.62	Facility		$90.23	$254.50	$629.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $109.68 / $242.28	Professional		$59.14	$109.68	$242.28
United Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $76.90 / $182.14	Professional		$58.97	$76.90	$182.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $93.70 / $227.71	Facility		$93.70	$93.70	$227.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $108.28 / $205.79	Professional		$65.81	$108.28	$205.79