Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $87.10 / $138.04	Facility		$51.29	$87.10	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $199.53	Professional		$47.86	$95.50	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $114.82	Professional		$57.54	$67.61	$114.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $123.03	Professional		$95.50	$95.50	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $190.55	Professional		$63.10	$102.33	$190.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $281.84	Facility		$70.79	$70.79	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $147.91	Professional		$77.62	$102.33	$147.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $173.78	Professional		$40.74	$81.28	$173.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.05	Professional		$0.02	$0.03	$0.05
Optum Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $91.20 / $120.23	Professional		$29.51	$91.20	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $79.43	Facility		$60.26	$60.26	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $151.36	Professional		$52.48	$83.18	$151.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $57.54 / $147.91	Facility		$33.88	$57.54	$147.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $169.82	Professional		$39.81	$81.28	$169.82