Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $80.78 / $127.77	Professional		$60.13	$80.78	$127.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $107.57 / $154.91	Professional		$107.57	$107.57	$154.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $94.41 / $125.88	Facility		$12.60	$94.41	$125.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $94.41 / $125.88	Professional		$12.60	$94.41	$125.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $88.16	Facility		$88.16	$88.16	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $115.71	Professional		$74.94	$88.16	$115.71
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 $78.01 / $81.78 / $125.82	Professional		$78.01	$81.78	$125.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $113.84	Professional		$107.15	$107.15	$113.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $88.16	Facility		$88.16	$88.16	$88.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $115.71	Professional		$74.94	$88.16	$115.71
United Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $81.51 / $124.38	Professional		$44.34	$81.51	$124.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $113.84	Professional		$107.15	$107.15	$113.84