Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.68 / $131.68 / $131.68	Facility		$131.68	$131.68	$131.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $165.55 / $224.51	Professional		$123.71	$165.55	$224.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $148.02 / $233.53	Professional		$0.80	$148.02	$233.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $253.27 / $253.27 / $253.27	Facility		$253.27	$253.27	$253.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $253.27 / $253.27 / $253.27	Professional		$253.27	$253.27	$253.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $136.91 / $293.82	Professional		$116.48	$136.91	$293.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $124.06 / $155.07	Professional		$94.67	$124.06	$155.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $135.69 / $164.81	Professional		$115.33	$135.69	$164.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $167.04 / $292.58	Professional		$116.48	$167.04	$292.58
United Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $198.64 / $395.91	Professional		$133.54	$198.64	$395.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.34 / $137.34 / $445.04	Facility		$137.34	$137.34	$445.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $135.69 / $164.81	Professional		$115.33	$135.69	$164.81