Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $323.59	Professional		$123.03	$204.17	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $588.84	Professional		$239.88	$239.88	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $223.87 / $302.00	Facility		$30.20	$223.87	$302.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $223.87 / $302.00	Professional		$30.20	$223.87	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $363.08	Professional		$177.83	$245.47	$363.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $316.23	Professional		$190.55	$223.87	$316.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $281.84	Professional		$229.09	$257.04	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $123.03 / $234.42	Facility		$14.13	$123.03	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $281.84	Professional		$112.20	$177.83	$281.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $257.04	Facility		$229.09	$229.09	$257.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $257.04	Professional		$229.09	$245.47	$257.04