Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $254.41 / $362.97	Professional		$166.46	$254.41	$362.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $295.08 / $463.19	Professional		$295.08	$295.08	$463.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $281.38 / $375.18	Facility		$37.52	$281.38	$375.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $281.38 / $375.18	Professional		$37.52	$281.38	$375.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $326.36	Facility		$243.78	$243.78	$326.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $326.36	Professional		$207.21	$243.78	$326.36
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 $209.14 / $258.70 / $337.33	Professional		$209.14	$258.70	$337.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.03 / $366.34 / $385.84	Professional		$338.03	$366.34	$385.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $326.36	Facility		$243.78	$243.78	$326.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $243.78 / $326.36	Professional		$202.91	$243.78	$326.36
United Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $231.47 / $359.56	Professional		$124.77	$231.47	$359.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $344.79 / $344.79 / $344.79	Facility		$344.79	$344.79	$344.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $344.79 / $344.79 / $385.84	Professional		$344.79	$344.79	$385.84