Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.88 / $19.95	Professional		$6.61	$12.88	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $38.90	Professional		$17.78	$17.78	$38.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $15.14 / $19.95	Facility		$2.00	$15.14	$19.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $15.14 / $19.95	Professional		$2.00	$15.14	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.05	Facility		$14.45	$14.45	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $19.05	Professional		$12.30	$14.45	$19.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $21.88	Professional		$12.59	$14.13	$21.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $18.20	Professional		$14.13	$17.38	$18.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $9.33 / $16.22	Facility		$1.00	$9.33	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.02 / $18.20	Professional		$7.24	$12.02	$18.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.13 / $17.38	Facility		$13.80	$14.13	$17.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $17.38	Professional		$14.13	$15.14	$17.38