Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.91 / $330.19 / $490.93	Professional		$171.91	$330.19	$490.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.87 / $393.87 / $537.91	Professional		$393.87	$393.87	$537.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $617.89	Facility		$47.53	$47.53	$617.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $617.89	Professional		$47.53	$47.53	$617.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $238.50 / $238.50	Facility		$235.00	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.11 / $238.50 / $642.00	Professional		$43.11	$238.50	$642.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $353.74 / $375.85	Professional		$346.80	$353.74	$375.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $238.50 / $238.50	Facility		$235.00	$238.50	$238.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $238.50 / $286.20	Professional		$40.22	$238.50	$286.20
United Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $170.10 / $269.45	Facility		$22.04	$170.10	$269.45
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $216.31 / $376.67	Professional		$137.91	$216.31	$376.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $353.74 / $353.74 / $353.74	Facility		$353.74	$353.74	$353.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $353.74 / $353.74 / $375.85	Professional		$353.74	$353.74	$375.85