Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $56.38 / $56.38	Facility		$56.38	$56.38	$56.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $76.42 / $98.00	Professional		$56.38	$76.42	$98.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $64.86 / $109.99	Professional		$0.80	$64.86	$109.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $107.85 / $107.85	Facility		$107.85	$107.85	$107.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $107.85 / $107.85	Professional		$107.85	$107.85	$107.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $57.68 / $163.55	Professional		$49.07	$57.68	$163.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $62.98 / $77.25	Professional		$52.06	$62.98	$77.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $64.45 / $77.34	Professional		$48.96	$64.45	$77.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.07 / $83.00 / $133.75	Professional		$49.07	$83.00	$133.75
Optum Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $82.63 / $164.85	Professional		$59.67	$82.63	$164.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $75.83 / $232.26	Facility		$75.83	$75.83	$232.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $72.04 / $77.34	Professional		$48.96	$72.04	$77.34