Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.99 / $37.15	Professional		$13.80	$23.99	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $67.61	Professional		$31.62	$31.62	$67.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $26.30 / $35.48	Facility		$3.72	$26.30	$35.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $26.30 / $35.48	Professional		$3.72	$26.30	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $33.88	Professional		$21.88	$25.70	$33.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $38.90	Professional		$21.88	$25.12	$38.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.12 / $32.36	Professional		$11.22	$25.12	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $16.60 / $28.18	Facility		$1.78	$16.60	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $32.36	Professional		$12.88	$21.88	$32.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $24.55 / $25.12	Facility		$11.22	$24.55	$25.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $25.12 / $26.30	Professional		$11.22	$25.12	$26.30