Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $102.33	Professional		$30.20	$40.74	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $120.23	Professional		$21.38	$21.38	$120.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $67.61 / $67.61	Facility		$28.18	$67.61	$67.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $74.13	Professional		$34.67	$67.61	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $58.88 / $138.04	Professional		$28.18	$58.88	$138.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $74.13	Professional		$38.02	$41.69	$74.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $91.20	Professional		$41.69	$48.98	$91.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $57.54	Professional		$52.48	$52.48	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $75.86	Professional		$25.70	$33.88	$75.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $91.20	Professional		$41.69	$48.98	$91.20