Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $97.96 / $157.94	Professional		$69.03	$97.96	$157.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $133.37 / $191.81	Professional		$133.37	$133.37	$191.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $112.71 / $150.27	Facility		$15.03	$112.71	$150.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $112.71 / $150.27	Professional		$15.03	$112.71	$150.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $143.12	Professional		$94.78	$111.50	$143.12
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 $93.74 / $105.77 / $160.26	Professional		$93.74	$105.77	$160.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.69 / $137.63	Professional		$123.00	$130.69	$137.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $143.12	Professional		$94.78	$111.50	$143.12
United Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $96.33 / $149.59	Professional		$54.81	$96.33	$149.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $137.63	Professional		$123.00	$123.00	$137.63