Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $213.77 / $306.75	Professional		$137.13	$213.77	$306.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.24 / $247.24 / $381.58	Professional		$247.24	$247.24	$381.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $233.63 / $311.50	Facility		$31.15	$233.63	$311.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $233.63 / $311.50	Professional		$31.15	$233.63	$311.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.18	Facility		$204.05	$204.05	$273.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $349.88	Professional		$173.44	$204.05	$349.88
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 $179.02 / $216.45 / $288.74	Professional		$179.02	$216.45	$288.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.47 / $301.80 / $317.85	Professional		$278.47	$301.80	$317.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.18	Facility		$204.05	$204.05	$273.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $173.68 / $349.88	Professional		$173.44	$173.68	$349.88
United Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $165.00 / $266.86	Facility		$18.53	$165.00	$266.86
United Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $196.84 / $295.88	Professional		$105.44	$196.84	$295.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $284.04 / $284.04 / $284.04	Facility		$284.04	$284.04	$284.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $284.04 / $284.04 / $317.85	Professional		$284.04	$284.04	$317.85