Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $416.87	Facility		$186.21	$275.42	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $288.40	Professional		$83.18	$138.04	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $275.42	Professional		$75.86	$83.18	$275.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $151.36	Facility		$91.20	$151.36	$151.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $151.36	Professional		$109.65	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $354.81 / $389.05	Facility		$323.59	$354.81	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $645.65	Professional		$104.71	$218.78	$645.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $218.78	Professional		$104.71	$125.89	$218.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $269.15	Professional		$131.83	$151.36	$269.15
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $190.55	Professional		$151.36	$151.36	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $91.20 / $213.80	Professional		$27.54	$91.20	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $295.12	Professional		$128.82	$158.49	$295.12