Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $208.10 / $359.30	Professional		$110.68	$208.10	$359.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $193.26 / $485.42	Professional		$118.13	$193.26	$485.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $165.19 / $340.41	Professional		$165.19	$165.19	$340.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $221.62 / $481.18	Professional		$105.95	$221.62	$481.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $258.25 / $518.66	Professional		$220.12	$258.25	$518.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $226.95 / $427.23	Professional		$175.05	$226.95	$427.23
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $202.14 / $224.61	Professional		$170.02	$202.14	$224.61
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $277.08 / $548.41	Professional		$127.54	$277.08	$548.41
United Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $265.52 / $612.54	Professional		$183.80	$265.52	$612.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $250.38 / $491.93	Professional		$161.19	$250.38	$491.93