Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $245.47	Professional		$102.33	$162.18	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $467.74	Professional		$204.17	$204.17	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $186.21 / $245.47	Facility		$24.55	$186.21	$245.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $186.21 / $245.47	Professional		$24.55	$186.21	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Facility		$165.96	$165.96	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $218.78	Professional		$141.25	$165.96	$218.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $165.96 / $245.47	Professional		$151.36	$165.96	$245.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $245.47	Professional		$213.80	$234.42	$245.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $114.82 / $181.97	Facility		$12.88	$114.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $234.42	Professional		$85.11	$151.36	$234.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $218.78 / $245.47	Facility		$213.80	$218.78	$245.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $245.47	Professional		$213.80	$234.42	$245.47