Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $123.03	Facility		$47.86	$102.33	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $40.74	Professional		$15.85	$26.92	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $74.13	Professional		$17.78	$17.78	$74.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $43.65	Professional		$32.36	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $112.20	Facility		$70.79	$93.33	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $48.98	Professional		$22.91	$22.91	$48.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $79.43	Professional		$45.71	$57.54	$79.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $89.13	Professional		$37.15	$56.23	$89.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $54.95	Professional		$15.49	$23.44	$54.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $89.13	Professional		$37.15	$48.98	$89.13