Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.79 / $89.52	Professional		$44.92	$61.79	$89.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $69.14 / $128.72	Professional		$69.14	$69.14	$128.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $74.30 / $96.60	Facility		$9.90	$74.30	$96.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $74.30 / $96.60	Professional		$9.90	$74.30	$96.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $76.92	Facility		$57.45	$57.45	$76.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $57.45 / $100.50	Professional		$48.83	$57.45	$100.50
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 $48.25 / $65.37 / $77.81	Professional		$48.25	$65.37	$77.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $101.82 / $107.22	Professional		$93.94	$101.82	$107.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $76.92	Facility		$57.45	$57.45	$76.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $57.45 / $100.50	Professional		$11.34	$57.45	$100.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $58.97 / $99.82	Professional		$31.09	$58.97	$99.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $95.82 / $95.82	Facility		$95.82	$95.82	$95.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $95.82 / $107.22	Professional		$95.82	$95.82	$107.22