Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $223.87	Professional		$97.72	$181.97	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $588.84	Facility		$446.68	$588.84	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $512.86	Professional		$100.00	$123.03	$512.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $239.88 / $239.88	Facility		$223.87	$239.88	$239.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $338.84	Professional		$104.71	$104.71	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $645.65	Professional		$295.12	$389.05	$645.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $309.03	Professional		$281.84	$281.84	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $229.09	Professional		$97.72	$144.54	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $288.40	Professional		$165.96	$165.96	$288.40