Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $26.99 / $52.21	Professional		$16.91	$26.99	$52.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $42.06 / $64.13	Professional		$42.06	$42.06	$64.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $37.29 / $48.77	Facility		$4.87	$37.29	$48.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $37.29 / $48.77	Professional		$4.87	$37.29	$48.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $26.10 / $46.21	Professional		$22.19	$26.10	$46.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $34.95 / $52.96	Professional		$30.99	$34.95	$52.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $37.25 / $45.51	Professional		$35.06	$37.25	$45.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $26.10 / $46.21	Professional		$7.92	$26.10	$46.21
United Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $20.77 / $38.83	Facility		$2.31	$20.77	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $29.15 / $48.13	Professional		$17.94	$29.15	$48.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $35.06 / $35.06	Facility		$35.06	$35.06	$35.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $35.06 / $45.51	Professional		$35.06	$35.06	$45.51