Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $72.73 / $112.79	Professional		$53.09	$72.73	$112.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $90.95 / $136.77	Professional		$89.08	$90.95	$136.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $81.62 / $108.83	Facility		$10.88	$81.62	$108.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $81.62 / $108.83	Professional		$10.88	$81.62	$108.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Facility		$74.67	$74.67	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $98.00	Professional		$63.47	$74.67	$98.00
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 $68.87 / $72.20 / $102.19	Professional		$68.87	$72.20	$102.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $81.54 / $97.37	Professional		$81.54	$81.54	$97.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Facility		$74.67	$74.67	$74.67
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $74.67 / $98.00	Professional		$9.27	$74.67	$98.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $69.22 / $110.06	Professional		$39.15	$69.22	$110.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $81.54 / $81.54	Facility		$81.54	$81.54	$81.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $81.54 / $86.63	Professional		$81.54	$81.54	$86.63