Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $125.47 / $207.62	Professional		$42.67	$125.47	$207.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $109.54 / $285.98	Professional		$88.21	$109.54	$285.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $153.06 / $217.80	Professional		$64.73	$153.06	$217.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $189.81 / $445.99	Professional		$91.42	$189.81	$445.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $137.28 / $263.02	Professional		$108.01	$137.28	$263.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $161.44 / $284.76	Professional		$97.42	$161.44	$284.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $195.25 / $440.76	Professional		$100.00	$195.25	$440.76
United Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $164.04 / $396.01	Professional		$95.99	$164.04	$396.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $175.34 / $358.66	Professional		$97.42	$175.34	$358.66