Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $208.93	Professional		$85.11	$158.49	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $512.86 / $512.86	Facility		$389.05	$512.86	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $446.68	Professional		$87.10	$107.15	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $208.93	Facility		$194.98	$208.93	$208.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $295.12	Professional		$91.20	$91.20	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $562.34	Professional		$257.04	$338.84	$562.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Professional		$245.47	$245.47	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $199.53	Professional		$85.11	$125.89	$199.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $251.19	Professional		$144.54	$144.54	$251.19