Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.84 / $60.84 / $60.84	Facility		$60.84	$60.84	$60.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $78.11 / $103.49	Professional		$55.61	$78.11	$103.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $68.19 / $108.05	Professional		$0.80	$68.19	$108.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $117.18 / $117.18	Facility		$117.18	$117.18	$117.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $117.18 / $117.18	Professional		$117.18	$117.18	$117.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $62.81 / $159.30	Professional		$53.43	$62.81	$159.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $62.06 / $76.12	Professional		$51.30	$62.06	$76.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $62.89 / $88.79	Professional		$53.10	$62.89	$88.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $78.84 / $138.41	Professional		$53.43	$78.84	$138.41
Optum Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $119.75 / $119.75	Professional		$119.75	$119.75	$119.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $98.20 / $191.16	Professional		$64.39	$98.20	$191.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $73.98 / $194.22	Facility		$73.98	$73.98	$194.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $70.29 / $88.79	Professional		$53.10	$70.29	$88.79