Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $67.18 / $100.98	Professional		$40.99	$67.18	$100.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $80.17 / $122.63	Professional		$80.17	$80.17	$122.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $73.73 / $98.32	Facility		$9.84	$73.73	$98.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $73.73 / $98.32	Professional		$9.84	$73.73	$98.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $87.12	Facility		$65.95	$65.95	$87.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.48	Professional		$56.07	$65.95	$87.48
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 $60.81 / $66.64 / $98.08	Professional		$60.81	$66.64	$98.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $92.91 / $97.85	Professional		$87.18	$92.91	$97.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $87.12	Facility		$65.95	$65.95	$87.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.48	Professional		$56.07	$65.95	$87.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $63.66 / $102.28	Professional		$35.04	$63.66	$102.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $87.44 / $87.44	Facility		$87.44	$87.44	$87.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $87.44 / $97.85	Professional		$87.44	$87.44	$97.85