Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $62.50 / $92.77	Professional		$45.42	$62.50	$92.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $73.63 / $130.22	Professional		$73.63	$73.63	$130.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $75.31 / $100.43	Facility		$10.03	$75.31	$100.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $75.31 / $100.43	Professional		$10.03	$75.31	$100.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $81.37	Facility		$60.78	$60.78	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $60.78 / $109.50	Professional		$51.66	$60.78	$109.50
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 $50.74 / $61.38 / $81.84	Professional		$50.74	$61.38	$81.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $96.92 / $102.98	Professional		$80.11	$96.92	$102.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $81.37	Facility		$60.78	$60.78	$81.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $51.66 / $109.50	Professional		$49.22	$51.66	$109.50
United Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $61.66 / $100.96	Professional		$45.44	$61.66	$100.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $96.92 / $96.92	Facility		$96.92	$96.92	$96.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $96.92 / $102.98	Professional		$96.92	$96.92	$102.98