Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $323.59	Professional		$141.25	$229.09	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $741.31	Professional		$295.12	$295.12	$741.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $288.40 / $380.19	Facility		$38.02	$288.40	$380.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $288.40 / $380.19	Professional		$38.02	$288.40	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $323.59	Facility		$245.47	$245.47	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $323.59	Professional		$208.93	$245.47	$323.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $331.13	Professional		$204.17	$263.03	$331.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $331.13	Professional		$302.00	$323.59	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $154.88 / $251.19	Facility		$18.20	$154.88	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $338.84	Professional		$123.03	$229.09	$338.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $331.13	Facility		$295.12	$302.00	$331.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $331.13	Professional		$302.00	$323.59	$331.13