Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $73.17 / $96.94	Facility		$55.87	$73.17	$96.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $78.59 / $100.49	Professional		$63.67	$78.59	$100.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $130.13 / $130.13	Facility		$130.13	$130.13	$130.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $130.13 / $130.13	Professional		$130.13	$130.13	$130.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $105.82 / $105.82	Facility		$105.82	$105.82	$105.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional		$79.45	$79.45	$79.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $139.06 / $221.74 / $332.00	Facility		$139.06	$221.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $120.23 / $182.89	Professional		$98.14	$120.23	$182.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.28 / $84.28 / $100.30	Facility		$84.28	$84.28	$100.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $98.61 / $192.07	Professional		$73.73	$98.61	$192.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $105.82 / $105.82	Facility		$105.82	$105.82	$105.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $95.26 / $204.52	Professional		$79.45	$95.26	$204.52
United Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $102.34 / $212.33	Professional		$66.79	$102.34	$212.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.28 / $97.32 / $100.30	Facility		$84.28	$97.32	$100.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $97.32 / $208.23	Professional		$79.80	$97.32	$208.23