Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $489.78	Professional		$181.97	$323.59	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,000.00	Professional		$398.11	$398.11	$1,000.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $380.19 / $501.19	Facility		$50.12	$380.19	$501.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $380.19 / $501.19	Professional		$50.12	$380.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Facility		$331.13	$331.13	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $436.52	Professional		$281.84	$331.13	$436.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $478.63	Professional		$295.12	$346.74	$478.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $426.58	Professional		$389.05	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $223.87 / $354.81	Facility		$23.99	$223.87	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $457.09	Professional		$169.82	$302.00	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $426.58	Facility		$380.19	$389.05	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $426.58	Professional		$389.05	$416.87	$426.58