Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $257.04	Professional		$173.78	$245.47	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $457.09	Professional		$354.81	$354.81	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $257.04	Professional		$144.54	$169.82	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $354.81	Professional		$281.84	$354.81	$354.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $354.81	Facility		$239.88	$239.88	$354.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81