Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $758.58	Professional		$190.55	$316.23	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $954.99	Professional		$288.40	$371.54	$954.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $512.86	Professional		$309.03	$309.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $851.14	Professional		$199.53	$398.11	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $758.58	Professional		$389.05	$467.74	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $616.60	Professional		$269.15	$389.05	$616.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $575.44	Professional		$398.11	$446.68	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $707.95	Professional		$154.88	$309.03	$707.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $707.95	Professional		$263.03	$398.11	$707.95