Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $94.34 / $500.00	Professional		$65.54	$94.34	$500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $102.01 / $133.35	Professional		$0.81	$102.01	$133.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $123.74 / $123.74	Facility		$123.74	$123.74	$123.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $123.74 / $145.71	Professional		$123.74	$123.74	$145.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $79.36 / $174.88	Professional		$56.52	$79.36	$174.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $73.95 / $103.08	Professional		$19.25	$73.95	$103.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $94.98 / $117.52	Professional		$83.24	$94.98	$117.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $86.24 / $174.88	Professional		$66.43	$86.24	$174.88
United Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $111.29 / $236.58	Professional		$80.73	$111.29	$236.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.19 / $81.19 / $339.81	Facility		$81.19	$81.19	$339.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $97.93 / $117.52	Professional		$93.04	$97.93	$117.52