Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $147.47 / $174.28	Professional		$75.59	$147.47	$174.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.12 / $439.34 / $488.16	Facility		$366.12	$439.34	$488.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $104.21 / $389.68	Professional		$82.53	$104.21	$389.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.12 / $203.36 / $203.36	Facility		$189.12	$203.36	$203.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $203.36 / $203.36 / $203.36	Professional		$203.36	$203.36	$203.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $87.87	Professional		$87.87	$87.87	$87.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $329.51 / $529.65	Professional		$256.27	$329.51	$529.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $139.75 / $139.75	Facility		$139.75	$139.75	$139.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $139.75 / $244.08	Professional		$139.75	$139.75	$244.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $555.00 / $597.00	Facility		$251.19	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $422.28	Professional		$87.87	$87.87	$422.28
United Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $121.77 / $223.77	Professional		$81.18	$121.77	$223.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $148.49 / $244.08	Professional		$139.75	$148.49	$244.08