Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $180.84 / $218.65	Professional		$93.36	$180.84	$218.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.19 / $542.63 / $602.91	Facility		$452.19	$542.63	$602.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $128.71 / $481.29	Professional		$101.93	$128.71	$481.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $233.58 / $251.16 / $251.16	Facility		$233.58	$251.16	$251.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $251.16 / $251.16	Professional		$251.16	$251.16	$251.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $303.08 / $303.08	Facility		$303.08	$303.08	$303.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $108.53	Professional		$108.53	$108.53	$108.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.52 / $406.97 / $654.16	Professional		$316.52	$406.97	$654.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.62 / $172.62 / $172.62	Facility		$172.62	$172.62	$172.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $172.62 / $172.62	Professional		$172.62	$172.62	$172.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $555.00 / $597.00	Facility		$303.08	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $521.54	Professional		$108.53	$108.53	$521.54
United Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $150.40 / $271.42	Professional		$100.26	$150.40	$271.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $188.35 / $301.45	Professional		$172.62	$188.35	$301.45