Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $152.91 / $200.20	Professional		$78.38	$152.91	$200.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.64 / $455.56 / $506.18	Facility		$379.64	$455.56	$506.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $108.06 / $404.06	Professional		$85.58	$108.06	$404.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $196.11 / $210.87 / $210.87	Facility		$196.11	$210.87	$210.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $210.87 / $210.87 / $210.87	Professional		$210.87	$210.87	$210.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $258.14 / $258.14	Facility		$258.14	$258.14	$258.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.74 / $341.67 / $549.21	Professional		$265.74	$341.67	$549.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.91 / $144.91 / $144.91	Facility		$144.91	$144.91	$144.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $144.91 / $144.91	Professional		$144.91	$144.91	$144.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $555.00 / $597.00	Facility		$258.14	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $437.87	Professional		$91.11	$91.11	$437.87
United Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $126.26 / $202.47	Professional		$84.18	$126.26	$202.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $158.13 / $253.09	Professional		$144.91	$158.13	$253.09