Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $101.99 / $125.10	Professional		$73.48	$101.99	$125.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $60.99 / $199.16	Professional		$48.30	$60.99	$199.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $119.86 / $119.86	Facility		$111.47	$119.86	$119.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $119.86 / $119.86	Professional		$119.86	$119.86	$119.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $167.42 / $167.42	Facility		$167.42	$167.42	$167.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $192.87 / $310.02	Professional		$150.01	$192.87	$310.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.06 / $91.06 / $91.06	Facility		$91.06	$91.06	$91.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $95.61 / $142.87	Professional		$91.06	$95.61	$142.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $555.00 / $597.00	Facility		$167.42	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $247.17	Professional		$58.29	$58.29	$247.17
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $71.27 / $122.54	Professional		$47.52	$71.27	$122.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $101.60 / $146.50	Professional		$91.06	$101.60	$146.50