Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $40.07	Facility		$40.07	$40.07	$40.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $51.55 / $68.29	Professional		$39.67	$51.55	$68.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $44.90 / $72.06	Professional		$0.80	$44.90	$72.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Facility		$76.70	$76.70	$76.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $41.15 / $94.16	Professional		$35.01	$41.15	$94.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $37.54 / $46.93	Professional		$30.14	$37.54	$46.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $41.06 / $49.70	Professional		$34.90	$41.06	$49.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $55.34 / $91.88	Professional		$35.01	$55.34	$91.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $63.52 / $121.96	Professional		$41.11	$63.52	$121.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.81 / $43.81 / $122.38	Facility		$43.81	$43.81	$122.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $41.62 / $44.69	Professional		$34.90	$41.62	$44.69