Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.12 / $38.90	Professional		$12.59	$25.12	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $72.44	Professional		$33.11	$33.11	$72.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $28.18 / $37.15	Facility		$3.72	$28.18	$37.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $28.18 / $37.15	Professional		$3.72	$28.18	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Facility		$26.92	$26.92	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $35.48	Professional		$22.91	$26.92	$35.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $41.69	Professional		$23.44	$26.92	$41.69
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 $26.92 / $29.51 / $34.67	Professional		$26.92	$29.51	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $16.98 / $28.84	Facility		$1.78	$16.98	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $33.88	Professional		$13.80	$22.39	$33.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.92 / $29.51	Facility		$26.30	$26.92	$29.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $29.51	Professional		$26.92	$28.18	$29.51