Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $135.82 / $165.92	Professional		$69.62	$135.82	$165.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.20 / $404.64 / $449.60	Facility		$337.20	$404.64	$449.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $95.98 / $358.90	Professional		$76.01	$95.98	$358.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $174.18 / $187.29 / $187.29	Facility		$174.18	$187.29	$187.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $187.29 / $187.29 / $187.29	Professional		$187.29	$187.29	$187.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $220.54 / $220.54	Facility		$220.54	$220.54	$220.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $80.93	Professional		$80.93	$80.93	$80.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $303.48 / $487.82	Professional		$236.04	$303.48	$487.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.71 / $128.71 / $128.71	Facility		$128.71	$128.71	$128.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $128.71 / $224.80	Professional		$128.71	$128.71	$224.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $555.00 / $597.00	Facility		$220.54	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $388.92	Professional		$80.93	$80.93	$388.92
United Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $112.15 / $192.81	Professional		$74.77	$112.15	$192.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $136.76 / $224.80	Professional		$128.71	$136.76	$224.80