Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $123.03	Professional		$57.54	$81.28	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $257.04	Professional		$97.72	$97.72	$257.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $97.72 / $128.82	Facility		$12.88	$97.72	$128.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $97.72 / $128.82	Professional		$12.88	$97.72	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $107.15	Professional		$69.18	$81.28	$107.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $109.65	Professional		$72.44	$91.20	$109.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $128.82	Professional		$107.15	$109.65	$128.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $51.29 / $87.10	Facility		$6.76	$51.29	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $128.82	Professional		$42.66	$81.28	$128.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $120.23 / $120.23	Facility		$109.65	$120.23	$120.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $128.82	Professional		$107.15	$120.23	$128.82