Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $73.14 / $119.66	Professional		$47.24	$73.14	$119.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $147.63	Professional		$79.34	$79.34	$147.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $77.61 / $103.50	Facility		$11.50	$77.61	$103.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $77.61 / $103.50	Professional		$11.50	$77.61	$103.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $108.47	Professional		$52.79	$62.10	$108.47
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 $64.15 / $80.76 / $124.24	Professional		$64.15	$80.76	$124.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $103.50	Professional		$72.56	$72.56	$103.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $62.10 / $108.47	Professional		$9.16	$62.10	$108.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $68.81 / $100.66	Professional		$41.32	$68.81	$100.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $72.56 / $72.56	Facility		$72.56	$72.56	$72.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $77.09	Professional		$72.56	$72.56	$77.09