Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $34.34 / $55.77	Professional		$20.13	$34.34	$55.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $67.62	Professional		$45.31	$45.31	$67.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $36.89 / $49.18	Facility		$4.92	$36.89	$49.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $36.89 / $49.18	Professional		$4.92	$36.89	$49.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Facility		$37.64	$37.64	$37.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $49.41	Professional		$31.99	$37.64	$49.41
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 $31.78 / $37.34 / $52.85	Professional		$31.78	$37.34	$52.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $44.31 / $46.66	Professional		$41.71	$44.31	$46.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Facility		$37.64	$37.64	$37.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $37.64 / $49.41	Professional		$4.74	$37.64	$49.41
United Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $33.21 / $47.90	Professional		$20.53	$33.21	$47.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $41.71 / $41.71	Facility		$41.71	$41.71	$41.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $46.66	Professional		$41.71	$41.71	$46.66