Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $80.28 / $135.85	Professional		$59.69	$80.28	$135.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $106.35 / $164.98	Professional		$106.35	$106.35	$164.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $94.84 / $126.46	Facility		$12.65	$94.84	$126.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $94.84 / $126.46	Professional		$12.65	$94.84	$126.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $119.96	Professional		$49.10	$57.76	$119.96
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 / $90.79 / $137.56	Professional		$81.06	$90.79	$137.56
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 $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $119.96	Professional		$49.10	$57.76	$119.96
United Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $77.67 / $116.70	Professional		$46.68	$77.67	$116.70
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