Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $159.18 / $245.63	Professional		$107.77	$159.18	$245.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $206.74 / $251.70	Professional		$206.74	$206.74	$251.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $160.46 / $303.94	Facility		$23.38	$160.46	$303.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $160.46 / $303.94	Professional		$23.38	$160.46	$303.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $174.27 / $384.38	Professional		$22.19	$174.27	$384.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.65 / $144.10 / $213.95	Professional		$132.65	$144.10	$213.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $165.53 / $175.87	Professional		$162.28	$165.53	$175.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $174.27 / $384.38	Professional		$22.19	$174.27	$384.38
United Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $140.44 / $223.42	Professional		$90.52	$140.44	$223.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.53 / $165.53 / $165.53	Facility		$165.53	$165.53	$165.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $165.53 / $175.87	Professional		$165.53	$165.53	$175.87