Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $81.22 / $138.58	Professional		$59.69	$81.22	$138.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $110.43 / $168.30	Professional		$109.30	$110.43	$168.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $98.07 / $130.78	Facility		$13.12	$98.07	$130.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $98.07 / $130.78	Professional		$13.12	$98.07	$130.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Facility		$96.42	$96.42	$96.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $96.42 / $123.52	Professional		$81.96	$96.42	$123.52
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 $81.06 / $93.32 / $141.38	Professional		$81.06	$93.32	$141.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $96.44 / $119.02	Professional		$90.77	$96.44	$119.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Facility		$96.42	$96.42	$96.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $96.42 / $123.52	Professional		$79.93	$96.42	$123.52
United Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $79.19 / $119.04	Professional		$47.62	$79.19	$119.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $90.77 / $90.77	Facility		$90.77	$90.77	$90.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $90.77 / $119.02	Professional		$90.77	$90.77	$119.02