Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $90.39 / $133.18	Professional		$60.94	$90.39	$133.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $113.82 / $162.66	Professional		$113.82	$113.82	$162.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $98.02 / $130.69	Facility		$13.06	$98.02	$130.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $98.02 / $130.69	Professional		$13.06	$98.02	$130.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $122.74	Professional		$79.48	$93.52	$122.74
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 $81.48 / $86.26 / $132.69	Professional		$81.48	$86.26	$132.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $93.60 / $114.96	Professional		$93.60	$93.60	$114.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $122.74	Professional		$79.48	$93.52	$122.74
United Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $78.11 / $114.41	Professional		$51.14	$78.11	$114.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $93.60 / $93.60	Facility		$93.60	$93.60	$93.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $93.60 / $99.45	Professional		$93.60	$93.60	$99.45