Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $30.90	Professional		$11.22	$19.95	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $54.95	Professional		$27.54	$27.54	$54.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $21.38 / $28.84	Facility		$2.88	$21.38	$28.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $21.38 / $28.84	Professional		$2.88	$21.38	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $29.51	Professional		$19.50	$22.91	$29.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $33.11	Professional		$17.38	$21.38	$33.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $26.92	Professional		$14.79	$19.95	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $13.49 / $24.55	Facility		$1.45	$13.49	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $26.92	Professional		$10.72	$18.20	$26.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.95 / $19.95	Facility		$14.79	$19.95	$19.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $21.38	Professional		$14.79	$19.95	$21.38