Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $144.54	Professional		$69.18	$107.15	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $177.83	Professional		$120.23	$138.04	$177.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $117.49 / $218.78	Facility		$16.60	$117.49	$218.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $117.49 / $218.78	Professional		$16.60	$117.49	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $64.57 / $69.18	Professional		$14.79	$64.57	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $134.90	Professional		$87.10	$109.65	$134.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $144.54 / $158.49	Professional		$53.70	$144.54	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $64.57 / $95.50	Facility		$8.71	$64.57	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $158.49	Professional		$58.88	$91.20	$158.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $144.54 / $147.91	Facility		$53.70	$144.54	$147.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $158.49	Professional		$53.70	$147.91	$158.49