Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $118.87 / $168.67	Professional		$77.48	$118.87	$168.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $130.15 / $204.84	Professional		$130.15	$130.15	$204.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $119.03 / $158.69	Facility		$15.87	$119.03	$158.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $119.03 / $158.69	Professional		$15.87	$119.03	$158.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $147.05	Professional		$51.49	$70.53	$147.05
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 $101.26 / $110.08 / $169.35	Professional		$101.26	$110.08	$169.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $132.75 / $137.33	Professional		$124.95	$132.75	$137.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $147.05	Professional		$51.49	$70.53	$147.05
United Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $93.70 / $134.96	Professional		$57.96	$93.70	$134.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.95 / $124.95 / $124.95	Facility		$124.95	$124.95	$124.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $124.95 / $137.33	Professional		$124.95	$124.95	$137.33