Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $103.15 / $151.61	Professional		$58.29	$103.15	$151.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.10 / $307.31 / $341.46	Facility		$256.10	$307.31	$341.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $72.89 / $272.56	Professional		$57.72	$72.89	$272.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $142.24 / $142.24	Facility		$132.28	$142.24	$142.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $142.24 / $142.24 / $142.24	Professional		$142.24	$142.24	$142.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.56 / $220.56 / $220.56	Facility		$220.56	$220.56	$220.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $221.95 / $370.48	Professional		$170.73	$221.95	$370.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.75 / $97.75 / $97.75	Facility		$97.75	$97.75	$97.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $97.75 / $97.75	Professional		$40.40	$97.75	$97.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $220.56 / $555.00 / $597.00	Facility		$220.56	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $67.76 / $295.38	Professional		$67.76	$67.76	$295.38
United Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $85.18 / $153.72	Professional		$56.78	$85.18	$153.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $97.75 / $170.73	Professional		$97.75	$97.75	$170.73