Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $93.69 / $93.69	Facility		$93.69	$93.69	$93.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $115.88 / $159.36	Professional		$86.35	$115.88	$159.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $103.95 / $179.82	Professional		$0.80	$103.95	$179.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.38 / $180.38 / $180.38	Facility		$180.38	$180.38	$180.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $180.38 / $180.38	Professional		$180.38	$180.38	$180.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $97.17 / $262.67	Professional		$82.67	$97.17	$262.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $103.13 / $126.51	Professional		$85.26	$103.13	$126.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $104.31 / $147.25	Professional		$82.00	$104.31	$147.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.01 / $210.13	Professional		$82.67	$113.01	$210.13
Optum Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $135.88 / $265.17	Professional		$93.27	$135.88	$265.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.71 / $122.71 / $301.18	Facility		$122.71	$122.71	$301.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $116.58 / $147.25	Professional		$82.00	$116.58	$147.25