Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $175.55 / $216.49	Professional		$89.99	$175.55	$216.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.86 / $523.03 / $581.14	Facility		$435.86	$523.03	$581.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $124.06 / $463.89	Professional		$98.25	$124.06	$463.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.14 / $242.09 / $242.09	Facility		$225.14	$242.09	$242.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $242.09 / $242.09	Professional		$242.09	$242.09	$242.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $283.73	Facility		$283.73	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $392.27 / $630.54	Professional		$305.10	$392.27	$630.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $166.38 / $166.38	Facility		$166.38	$166.38	$166.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.38 / $166.38 / $166.38	Professional		$166.38	$166.38	$166.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $555.00 / $597.00	Facility		$283.73	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $502.71	Professional		$104.60	$104.60	$502.71
United Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $144.96 / $261.61	Professional		$96.64	$144.96	$261.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.38 / $181.54 / $290.57	Professional		$166.38	$181.54	$290.57