Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $123.03	Professional		$57.54	$79.43	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $263.03	Professional		$100.00	$100.00	$263.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $97.72 / $131.83	Facility		$13.18	$97.72	$131.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $97.72 / $131.83	Professional		$13.18	$97.72	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Facility		$81.28	$81.28	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $109.65	Professional		$69.18	$81.28	$109.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $114.82	Professional		$70.79	$93.33	$114.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $131.83	Professional		$107.15	$123.03	$131.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $53.70 / $87.10	Facility		$6.92	$53.70	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $83.18 / $131.83	Professional		$42.66	$83.18	$131.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $123.03 / $123.03	Facility		$120.23	$123.03	$123.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $131.83	Professional		$107.15	$123.03	$131.83