Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $207.98 / $369.13	Professional		$107.77	$207.98	$369.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $183.58 / $474.88	Professional		$144.55	$183.58	$474.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $154.90 / $314.37	Professional		$154.90	$154.90	$314.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $248.49 / $607.15	Professional		$119.60	$248.49	$607.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $225.95 / $420.41	Professional		$99.13	$225.95	$420.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $285.33 / $408.37	Professional		$167.50	$285.33	$408.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $268.73 / $568.79	Professional		$138.66	$268.73	$568.79
United Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $238.87 / $538.38	Professional		$167.19	$238.87	$538.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $295.10 / $441.60	Professional		$167.50	$295.10	$441.60