Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $140.28 / $158.91	Professional		$72.70	$140.28	$158.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.13 / $422.55 / $469.50	Facility		$352.13	$422.55	$469.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $100.22 / $374.77	Professional		$76.66	$100.22	$374.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.89 / $195.58 / $195.58	Facility		$181.89	$195.58	$195.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $195.58 / $195.58 / $195.58	Professional		$195.58	$195.58	$195.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.59 / $237.59 / $237.59	Facility		$237.59	$237.59	$237.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $285.33 / $509.41	Professional		$99.50	$285.33	$509.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Facility		$134.41	$134.41	$134.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Professional		$134.41	$134.41	$134.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $237.59 / $555.00 / $597.00	Facility		$237.59	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $406.12	Professional		$84.51	$84.51	$406.12
United Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $117.11 / $234.84	Professional		$78.08	$117.11	$234.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $146.66 / $234.75	Professional		$134.41	$146.66	$234.75