Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $125.89	Professional		$75.86	$93.33	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $104.71	Professional		$91.20	$104.71	$104.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $194.98	Facility		$14.79	$14.79	$194.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $194.98	Professional		$14.79	$14.79	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $97.72	Facility		$89.13	$89.13	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $117.49	Professional		$75.86	$89.13	$117.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $13.18 / $104.71	Facility		$7.76	$13.18	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $28.18 / $128.82	Professional		$7.08	$28.18	$128.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $177.83	Facility		$144.54	$144.54	$177.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88