Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $62.82 / $100.58	Professional		$45.67	$62.82	$100.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $80.73 / $130.88	Professional		$80.73	$80.73	$130.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $78.56 / $104.76	Facility		$10.48	$78.56	$104.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $78.56 / $104.76	Professional		$10.48	$78.56	$104.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $88.97	Facility		$66.45	$66.45	$88.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $88.97	Professional		$56.49	$66.45	$88.97
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 $57.37 / $73.09 / $92.54	Professional		$57.37	$73.09	$92.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $103.52 / $109.03	Professional		$95.52	$103.52	$109.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $88.97	Facility		$66.45	$66.45	$88.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $66.45 / $88.97	Professional		$55.67	$66.45	$88.97
United Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $67.84 / $104.55	Professional		$34.92	$67.84	$104.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.43 / $97.43 / $97.43	Facility		$97.43	$97.43	$97.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $97.43 / $109.03	Professional		$97.43	$97.43	$109.03