Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $140.12 / $180.63	Professional		$74.63	$140.12	$180.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.89 / $405.47 / $450.52	Facility		$337.89	$405.47	$450.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $96.18 / $359.68	Professional		$76.17	$96.18	$359.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $174.54 / $187.68 / $187.68	Facility		$174.54	$187.68	$187.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $187.68 / $187.68	Professional		$187.68	$187.68	$187.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.31 / $238.31 / $238.31	Facility		$238.31	$238.31	$238.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.52 / $304.10 / $488.81	Professional		$236.52	$304.10	$488.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $128.99 / $128.99	Facility		$128.99	$128.99	$128.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $128.99 / $128.99	Professional		$128.99	$128.99	$128.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $238.31 / $555.00 / $597.00	Facility		$238.31	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $389.72	Professional		$86.76	$86.76	$389.72
United Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $112.39 / $206.04	Professional		$74.92	$112.39	$206.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $140.75 / $225.26	Professional		$128.99	$140.75	$225.26