Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $83.18	Professional		$57.54	$67.61	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $72.44	Professional		$47.86	$60.26	$72.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $263.03	Professional		$57.54	$112.20	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $177.83	Professional		$79.43	$107.15	$177.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $141.25	Professional		$47.86	$72.44	$141.25
Optum Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $128.82	Professional		$60.26	$79.43	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $165.96	Professional		$60.26	$81.28	$165.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $81.28	Facility		$51.29	$64.57	$81.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $144.54	Professional		$47.86	$72.44	$144.54