Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $63.20 / $141.57	Facility		$40.95	$63.20	$141.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $34.04 / $89.49	Professional		$7.84	$34.04	$89.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $20.22 / $80.48	Professional		$18.68	$20.22	$80.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $50.56 / $50.56	Facility		$30.34	$50.56	$50.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $50.56 / $50.56	Professional		$36.90	$50.56	$50.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $102.46 / $123.45	Facility		$60.67	$102.46	$123.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $30.67 / $113.85	Professional		$10.03	$30.67	$113.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $71.76	Facility		$37.70	$37.70	$71.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $42.83 / $85.45	Professional		$30.08	$42.83	$85.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $48.03 / $91.68	Professional		$15.57	$48.03	$91.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $60.67 / $123.45	Facility		$60.67	$60.67	$123.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $29.89 / $113.80	Professional		$10.19	$29.89	$113.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $30.34 / $75.84	Professional		$12.22	$30.34	$75.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $50.56 / $134.36	Professional		$19.89	$50.56	$134.36