Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $30.20	Professional		$15.85	$19.95	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $69.18	Professional		$23.99	$23.99	$69.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $25.70 / $34.67	Facility		$3.47	$25.70	$34.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $25.70 / $34.67	Professional		$3.47	$25.70	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Facility		$19.95	$19.95	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $26.30	Professional		$16.98	$19.95	$26.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $28.84	Professional		$17.78	$24.55	$28.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $37.15	Professional		$28.18	$29.51	$37.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $13.49 / $24.55	Facility		$1.74	$13.49	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.89 / $38.90	Professional		$11.22	$20.89	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $33.88 / $34.67	Facility		$29.51	$33.88	$34.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $37.15	Professional		$28.18	$33.88	$37.15