Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $79.43	Professional		$38.90	$57.54	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $158.49	Professional		$74.13	$74.13	$158.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $64.57 / $85.11	Facility		$8.51	$64.57	$85.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $64.57 / $85.11	Professional		$8.51	$64.57	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $81.28	Professional		$51.29	$60.26	$81.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $89.13	Professional		$53.70	$58.88	$89.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $151.36	Professional		$72.44	$75.86	$151.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $40.74 / $66.07	Facility		$4.68	$40.74	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $87.10	Professional		$30.20	$54.95	$87.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $151.36	Facility		$70.79	$72.44	$151.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $151.36	Professional		$72.44	$75.86	$151.36